Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.15 / $39.81 / $39.81	Facility		$34.15	$39.81	$39.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.68 / $30.18 / $51.35	Professional		$17.68	$30.18	$51.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.83 / $35.92 / $94.98	Facility		$29.83	$35.92	$94.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.64 / $41.47 / $41.47	Professional		$34.64	$41.47	$41.47
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $92.51 / $130.02 / $190.81	Professional		$92.51	$130.02	$190.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.06 / $30.06 / $44.04	Facility		$30.06	$30.06	$44.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.94 / $21.94 / $30.96	Professional		$21.94	$21.94	$30.96
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $40.44 / $40.44 / $48.53	Professional		$40.44	$40.44	$48.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $68.00 / $68.00 / $68.00	Professional		$68.00	$68.00	$68.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $86.17 / $194.47 / $194.47	Facility		$86.17	$194.47	$194.47
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $249.13 / $259.10 / $299.85	Professional		$249.13	$259.10	$299.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $70.00 / $85.00	Professional		$70.00	$70.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.55 / $35.93 / $64.23	Facility		$17.55	$35.93	$64.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.94 / $21.94 / $30.06	Professional		$21.94	$21.94	$30.06
United Facility/Professional Professional Modifier Low / Median / High Price $20.86 / $22.95 / $54.14	Professional		$20.86	$22.95	$54.14