Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.18 / $34.01 / $34.01	Facility		$29.18	$34.01	$34.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.01 / $21.22 / $34.01	Professional		$15.01	$21.22	$34.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $48.66 / $58.60 / $154.93	Facility		$48.66	$58.60	$154.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.14 / $67.64 / $67.64	Professional		$35.14	$67.64	$67.64
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $78.45 / $110.27 / $161.82	Professional		$78.45	$110.27	$161.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.39 / $54.94 / $54.94	Facility		$37.39	$54.94	$54.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.11 / $40.11 / $54.94	Professional		$40.11	$40.11	$54.94
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $50.40 / $50.40 / $60.48	Professional		$50.40	$50.40	$60.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $50.40 / $638.07 / $801.00	Professional		$50.40	$638.07	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $165.11 / $165.11	Facility		$85.00	$165.11	$165.11
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $212.02 / $220.50 / $254.55	Professional		$212.02	$220.50	$254.55
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 $15.04 / $38.18 / $54.94	Facility		$15.04	$38.18	$54.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $40.11 / $40.11 / $54.94	Professional		$40.11	$40.11	$54.94
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $50.40 / $50.40 / $75.59	Professional		$50.40	$50.40	$75.59
United Facility/Professional Professional Modifier Low / Median / High Price $17.98 / $19.48 / $40.44	Professional		$17.98	$19.48	$40.44