Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.28 / $74.73 / $366.16	Facility		$36.28	$74.73	$366.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.28 / $36.64 / $67.47	Professional		$36.28	$36.64	$67.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.49 / $57.95 / $129.90	Facility		$38.49	$57.95	$129.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.26 / $37.63 / $79.70	Professional		$36.26	$37.63	$79.70
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $35.61 / $39.79 / $81.91	Facility		$35.61	$39.79	$81.91
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $36.96 / $38.81 / $95.34	Professional		$36.96	$38.81	$95.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.22 / $34.22 / $36.28	Facility		$34.22	$34.22	$36.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.28 / $36.28 / $42.72	Professional		$36.28	$36.28	$42.72
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $35.44 / $35.79 / $47.84	Professional		$35.44	$35.79	$47.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $32.65 / $43.54 / $79.81	Professional		$32.65	$43.54	$79.81
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $179.00 / $181.40	Facility		$75.00	$179.00	$181.40
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $156.44 / $156.44 / $156.44	Professional		$156.44	$156.44	$156.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.65 / $72.65 / $72.65	Professional		$72.65	$72.65	$72.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $36.28 / $37.72 / $61.69	Facility		$36.28	$37.72	$61.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $36.28 / $36.28 / $44.30	Professional		$36.28	$36.28	$44.30
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.02 / $36.28 / $54.41	Professional		$29.02	$36.28	$54.41
United Facility/Professional Professional Modifier Low / Median / High Price $36.28 / $36.28 / $64.77	Professional		$36.28	$36.28	$64.77