Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.78 / $62.16 / $170.70	Facility		$30.78	$62.16	$170.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.78 / $31.08 / $53.40	Professional		$30.78	$31.08	$53.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.65 / $49.16 / $110.60	Facility		$32.65	$49.16	$110.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.78 / $32.25 / $73.30	Professional		$30.78	$32.25	$73.30
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $32.32 / $36.11 / $72.54	Facility		$32.32	$36.11	$72.54
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $31.36 / $32.93 / $83.04	Professional		$31.36	$32.93	$83.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.03 / $29.03 / $30.78	Facility		$29.03	$29.03	$30.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.78 / $30.78 / $37.75	Professional		$30.78	$30.78	$37.75
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $30.39 / $31.54 / $41.03	Professional		$30.39	$31.54	$41.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $27.70 / $36.94 / $67.72	Professional		$27.70	$36.94	$67.72
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $153.90 / $157.69	Facility		$75.00	$153.90	$157.69
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $134.18 / $134.18 / $134.18	Professional		$134.18	$134.18	$134.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $62.29 / $62.29 / $62.29	Professional		$62.29	$62.29	$62.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.78 / $32.32 / $52.32	Facility		$30.78	$32.32	$52.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $30.78 / $30.78 / $38.33	Professional		$30.78	$30.78	$38.33
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $24.62 / $30.78 / $46.17	Professional		$24.62	$30.78	$46.17
United Facility/Professional Professional Modifier Low / Median / High Price $30.78 / $30.78 / $55.40	Professional		$30.78	$30.78	$55.40