Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.36 / $64.14 / $429.21	Facility		$62.36	$64.14	$429.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.27 / $55.10 / $64.14	Professional		$34.27	$55.10	$64.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.58 / $510.00 / $1,610.00	Facility		$1.58	$510.00	$1,610.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.53 / $2.49 / $90.39	Professional		$1.53	$2.49	$90.39
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $96.60 / $180.53 / $357.11	Facility		$96.60	$180.53	$357.11
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $90.88 / $117.14 / $259.39	Professional		$90.88	$117.14	$259.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $68.23 / $68.23 / $68.23	Facility		$68.23	$68.23	$68.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.31 / $50.31 / $50.31	Professional		$50.31	$50.31	$50.31
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $149.19 / $149.19 / $179.04	Professional		$149.19	$149.19	$179.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $164.12 / $638.07 / $801.00	Professional		$164.12	$638.07	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $117.60 / $323.89 / $335.73	Facility		$117.60	$323.89	$335.73
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $480.58 / $499.80 / $517.65	Professional		$480.58	$499.80	$517.65
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 $48.64 / $83.76 / $124.16	Facility		$48.64	$83.76	$124.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $50.31 / $50.31 / $125.42	Professional		$50.31	$50.31	$125.42
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $149.19 / $164.12 / $253.64	Professional		$149.19	$164.12	$253.64
United Facility/Professional Professional Modifier Low / Median / High Price $49.53 / $67.70 / $154.31	Professional		$49.53	$67.70	$154.31