Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $83.18 / $173.78	Facility		$66.07	$83.18	$173.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $56.23 / $87.10	Professional		$42.66	$56.23	$87.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $77.62 / $194.98	Facility		$61.66	$77.62	$194.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $85.11 / $93.33	Professional		$81.28	$85.11	$93.33
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $302.00 / $446.68	Professional		$169.82	$302.00	$446.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $69.18 / $107.15	Facility		$69.18	$69.18	$107.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $51.29 / $69.18	Professional		$51.29	$51.29	$69.18
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $89.13	Professional		$74.13	$74.13	$89.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $102.33 / $154.88	Professional		$83.18	$102.33	$154.88
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $562.34 / $562.34	Facility		$562.34	$562.34	$562.34
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $741.31 / $741.31	Professional		$630.96	$741.31	$741.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Professional		$141.25	$141.25	$141.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $114.82 / $173.78	Facility		$43.65	$114.82	$173.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $51.29 / $69.18	Professional		$51.29	$51.29	$69.18
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $95.50 / $125.89	Professional		$74.13	$95.50	$125.89
United Facility/Professional Facility Modifier Low / Median / High Price $9.33 / $56.23 / $64.57	Facility		$9.33	$56.23	$64.57
United Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $56.23 / $120.23	Professional		$44.67	$56.23	$120.23