Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.32 / $100.42 / $240.26	Facility		$46.32	$100.42	$240.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.32 / $46.78 / $122.95	Professional		$46.32	$46.78	$122.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $49.27 / $73.98 / $165.85	Facility		$49.27	$73.98	$165.85
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.32 / $54.74 / $124.40	Professional		$46.32	$54.74	$124.40
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $71.70 / $90.83 / $106.86	Facility		$71.70	$90.83	$106.86
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $47.19 / $47.19 / $104.76	Professional		$47.19	$47.19	$104.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.70 / $43.70 / $46.32	Facility		$43.70	$43.70	$46.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.32 / $46.32 / $52.44	Professional		$46.32	$46.32	$52.44
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $46.35 / $52.70 / $71.14	Professional		$46.35	$52.70	$71.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $55.58 / $111.00	Professional		$41.69	$55.58	$111.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $90.83 / $232.69 / $232.69	Facility		$90.83	$232.69	$232.69
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $232.69 / $232.69 / $235.06	Professional		$232.69	$232.69	$235.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.28 / $71.14 / $108.03	Professional		$54.28	$71.14	$108.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $46.32 / $49.10 / $79.66	Facility		$46.32	$49.10	$79.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $46.32 / $46.32 / $82.79	Professional		$46.32	$46.32	$82.79
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $37.06 / $46.32 / $69.48	Professional		$37.06	$46.32	$69.48
United Facility/Professional Professional Modifier Low / Median / High Price $46.32 / $46.32 / $91.85	Professional		$46.32	$46.32	$91.85