Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.59 / $91.60 / $91.60	Facility		$78.59	$91.60	$91.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.42 / $69.44 / $91.60	Professional		$40.42	$69.44	$91.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.05 / $33.79 / $89.33	Facility		$28.05	$33.79	$89.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.00 / $39.00 / $57.00	Professional		$39.00	$39.00	$57.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $213.16 / $299.58 / $439.65	Professional		$213.16	$299.58	$439.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.95 / $37.95 / $101.37	Facility		$37.95	$37.95	$101.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.70 / $27.70 / $40.45	Professional		$27.70	$27.70	$40.45
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $100.78 / $100.78 / $120.94	Professional		$100.78	$100.78	$120.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $40.00 / $165.00	Professional		$40.00	$40.00	$165.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $199.04 / $447.64 / $447.64	Facility		$199.04	$447.64	$447.64
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $572.44 / $595.34 / $690.23	Professional		$572.44	$595.34	$690.23
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 $40.42 / $82.71 / $147.79	Facility		$40.42	$82.71	$147.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $27.70 / $27.70 / $40.42	Professional		$27.70	$27.70	$40.42
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $100.78 / $100.78 / $151.16	Professional		$100.78	$100.78	$151.16
United Facility/Professional Professional Modifier Low / Median / High Price $48.73 / $52.84 / $111.63	Professional		$48.73	$52.84	$111.63