Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.22 / $87.74 / $121.42	Facility		$58.22	$87.74	$121.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.85 / $53.82 / $87.74	Professional		$38.85	$53.82	$87.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.00 / $61.43 / $162.41	Facility		$51.00	$61.43	$162.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.91 / $70.91 / $90.58	Professional		$70.91	$70.91	$90.58
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $204.27 / $287.08 / $421.31	Professional		$204.27	$287.08	$421.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.13 / $47.13 / $97.22	Facility		$47.13	$47.13	$97.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.40 / $34.40 / $48.54	Professional		$34.40	$34.40	$48.54
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $73.92 / $73.92 / $88.70	Professional		$73.92	$73.92	$88.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $82.50 / $82.50 / $127.00	Professional		$82.50	$82.50	$127.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $190.47 / $429.26 / $429.26	Facility		$190.47	$429.26	$429.26
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $549.48 / $571.46 / $661.95	Professional		$549.48	$571.46	$661.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $85.00	Professional		$60.00	$60.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $38.85 / $79.31 / $141.76	Facility		$38.85	$79.31	$141.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $34.40 / $34.40 / $47.13	Professional		$34.40	$34.40	$47.13
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $73.92 / $73.92 / $110.88	Professional		$73.92	$73.92	$110.88
United Facility/Professional Professional Modifier Low / Median / High Price $47.00 / $50.67 / $103.14	Professional		$47.00	$50.67	$103.14