Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.49 / $39.04 / $39.04	Facility		$33.49	$39.04	$39.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.23 / $24.53 / $39.04	Professional		$17.23	$24.53	$39.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.39 / $46.24 / $122.25	Facility		$38.39	$46.24	$122.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.02 / $50.26 / $53.37	Professional		$34.02	$50.26	$53.37
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $91.03 / $127.94 / $187.75	Professional		$91.03	$127.94	$187.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.29 / $30.29 / $43.21	Facility		$30.29	$30.29	$43.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.11 / $22.11 / $31.20	Professional		$22.11	$22.11	$31.20
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $42.68 / $42.68 / $51.22	Professional		$42.68	$42.68	$51.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $42.68 / $68.00 / $68.00	Professional		$42.68	$68.00	$68.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $190.81 / $190.81	Facility		$85.00	$190.81	$190.81
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $243.82 / $253.57 / $294.14	Professional		$243.82	$253.57	$294.14
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 $17.23 / $35.26 / $63.01	Facility		$17.23	$35.26	$63.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $22.11 / $22.11 / $30.29	Professional		$22.11	$22.11	$30.29
United Facility/Professional Professional Modifier Low / Median / High Price $19.94 / $22.52 / $45.38	Professional		$19.94	$22.52	$45.38