Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.08 / $57.20 / $57.20	Facility		$49.08	$57.20	$57.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.35 / $35.84 / $57.20	Professional		$25.35	$35.84	$57.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.81 / $43.13 / $114.04	Facility		$35.81	$43.13	$114.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.79 / $49.79 / $49.79	Professional		$49.79	$49.79	$49.79
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $132.47 / $186.19 / $273.24	Professional		$132.47	$186.19	$273.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $49.68 / $49.68 / $63.15	Facility		$49.68	$49.68	$63.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.27 / $36.27 / $51.17	Professional		$36.27	$36.27	$51.17
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $44.24 / $44.24 / $53.09	Professional		$44.24	$44.24	$53.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $55.00 / $55.00	Professional		$55.00	$55.00	$55.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $123.96 / $278.87 / $278.87	Facility		$123.96	$278.87	$278.87
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $356.91 / $371.18 / $429.98	Professional		$356.91	$371.18	$429.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $60.00	Professional		$60.00	$60.00	$60.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $25.22 / $51.53 / $91.98	Facility		$25.22	$51.53	$91.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $36.27 / $36.27 / $49.68	Professional		$36.27	$36.27	$49.68
United Facility/Professional Professional Modifier Low / Median / High Price $30.53 / $32.92 / $67.00	Professional		$30.53	$32.92	$67.00