Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.49 / $100.90 / $272.27	Facility		$52.49	$100.90	$272.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.49 / $53.01 / $81.01	Professional		$52.49	$53.01	$81.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $54.60 / $83.84 / $188.61	Facility		$54.60	$83.84	$188.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.45 / $52.49 / $118.98	Professional		$50.45	$52.49	$118.98
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $52.95 / $54.54 / $100.00	Facility		$52.95	$54.54	$100.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $53.48 / $55.08 / $120.47	Professional		$53.48	$55.08	$120.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $49.52 / $49.52 / $52.49	Facility		$49.52	$49.52	$52.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.49 / $52.49 / $64.17	Professional		$52.49	$52.49	$64.17
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $48.53 / $49.40 / $66.69	Professional		$48.53	$49.40	$66.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $47.24 / $62.99 / $112.00	Professional		$47.24	$62.99	$112.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $242.65 / $262.45	Facility		$75.00	$242.65	$262.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $218.09 / $218.09 / $218.09	Professional		$218.09	$218.09	$218.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $101.27 / $101.27 / $101.27	Professional		$101.27	$101.27	$101.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $52.49 / $54.59 / $89.23	Facility		$52.49	$54.59	$89.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $52.49 / $52.49 / $64.17	Professional		$52.49	$52.49	$64.17
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $41.99 / $52.49 / $78.73	Professional		$41.99	$52.49	$78.73
United Facility/Professional Professional Modifier Low / Median / High Price $52.49 / $52.49 / $87.96	Professional		$52.49	$52.49	$87.96