Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.52 / $57.04 / $147.93	Facility		$28.52	$57.04	$147.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.52 / $28.80 / $34.56	Professional		$28.52	$28.80	$34.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.26 / $45.55 / $102.48	Facility		$30.26	$45.55	$102.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.52 / $29.59 / $62.68	Professional		$28.52	$29.59	$62.68
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $32.61 / $36.46 / $57.57	Facility		$32.61	$36.46	$57.57
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $29.06 / $29.93 / $76.95	Professional		$29.06	$29.93	$76.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.90 / $26.90 / $28.52	Facility		$26.90	$26.90	$28.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.52 / $28.52 / $30.94	Professional		$28.52	$28.52	$30.94
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $36.45 / $36.45 / $49.21	Professional		$36.45	$36.45	$49.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $25.67 / $34.22 / $53.62	Professional		$25.67	$34.22	$53.62
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $142.60 / $143.93	Facility		$75.00	$142.60	$143.93
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $145.84 / $145.84 / $172.71	Professional		$145.84	$145.84	$172.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $28.52 / $29.94 / $48.48	Facility		$28.52	$29.94	$48.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $28.52 / $28.52 / $39.99	Professional		$28.52	$28.52	$39.99
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $22.81 / $28.52 / $42.78	Professional		$22.81	$28.52	$42.78
United Facility/Professional Professional Modifier Low / Median / High Price $28.52 / $28.52 / $52.02	Professional		$28.52	$28.52	$52.02