Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.70 / $44.93 / $44.93	Facility		$37.70	$44.93	$44.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.05 / $37.54 / $44.93	Professional		$27.05	$37.54	$44.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.11 / $510.00 / $1,610.00	Facility		$1.11	$510.00	$1,610.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.07 / $1.74 / $77.03	Professional		$1.07	$1.74	$77.03
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $287.76 / $421.48	Facility		$97.00	$287.76	$421.48
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $63.73 / $87.85 / $181.89	Professional		$63.73	$87.85	$181.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.81 / $64.81 / $64.81	Facility		$64.81	$64.81	$64.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.19 / $35.19 / $35.19	Professional		$35.19	$35.19	$35.19
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $254.85 / $254.85 / $305.82	Professional		$254.85	$254.85	$305.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $257.77 / $638.07 / $801.00	Professional		$257.77	$638.07	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $82.25 / $226.54 / $234.84	Facility		$82.25	$226.54	$234.84
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $335.71 / $349.14 / $362.10	Professional		$335.71	$349.14	$362.10
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 $34.02 / $58.67 / $86.84	Facility		$34.02	$58.67	$86.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $35.19 / $35.19 / $127.97	Professional		$35.19	$35.19	$127.97
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $254.85 / $280.33 / $433.25	Professional		$254.85	$280.33	$433.25
United Facility/Professional Professional Modifier Low / Median / High Price $34.56 / $47.34 / $106.50	Professional		$34.56	$47.34	$106.50