Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.15 / $64.80 / $167.89	Facility		$32.15	$64.80	$167.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.15 / $32.47 / $55.66	Professional		$32.15	$32.47	$55.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.11 / $51.35 / $115.12	Facility		$34.11	$51.35	$115.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.15 / $33.61 / $76.40	Professional		$32.15	$33.61	$76.40
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $31.57 / $35.28 / $74.45	Facility		$31.57	$35.28	$74.45
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $32.75 / $32.75 / $83.83	Professional		$32.75	$32.75	$83.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.33 / $30.33 / $32.15	Facility		$30.33	$30.33	$32.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.15 / $32.15 / $34.94	Professional		$32.15	$32.15	$34.94
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $32.38 / $32.45 / $43.81	Professional		$32.38	$32.45	$43.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $28.94 / $38.58 / $70.09	Professional		$28.94	$38.58	$70.09
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $160.75 / $161.90	Facility		$75.00	$160.75	$161.90
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $143.25 / $143.25 / $143.25	Professional		$143.25	$143.25	$143.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $66.52 / $66.52 / $66.52	Professional		$66.52	$66.52	$66.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $32.15 / $33.43 / $54.53	Facility		$32.15	$33.43	$54.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $32.15 / $32.15 / $40.71	Professional		$32.15	$32.15	$40.71
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $25.72 / $32.15 / $48.22	Professional		$25.72	$32.15	$48.22
United Facility/Professional Professional Modifier Low / Median / High Price $32.15 / $32.15 / $61.05	Professional		$32.15	$32.15	$61.05