Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.60 / $94.98 / $1,244.09	Facility		$22.60	$94.98	$1,244.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.60 / $9.60 / $94.98	Professional		$9.60	$9.60	$94.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $5.00 / $24.00	Professional		$5.00	$5.00	$24.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $90.14 / $123.81 / $181.11	Facility		$90.14	$123.81	$181.11
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $65.70 / $78.75 / $167.12	Professional		$65.70	$78.75	$167.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.83 / $104.83 / $104.83	Facility		$104.83	$104.83	$104.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $195.53 / $195.53 / $195.53	Professional		$195.53	$195.53	$195.53
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $41.24 / $41.24 / $49.49	Professional		$41.24	$41.24	$49.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $45.36 / $638.07 / $801.00	Professional		$45.36	$638.07	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $700.16	Facility		$100.00	$100.00	$700.16
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $452.38 / $452.38 / $452.38	Professional		$452.38	$452.38	$452.38
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 $9.60 / $12.00 / $94.98	Facility		$9.60	$12.00	$94.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $195.53 / $195.53 / $195.53	Professional		$195.53	$195.53	$195.53
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $41.24 / $45.36 / $70.11	Professional		$41.24	$45.36	$70.11
United Facility/Professional Professional Modifier Low / Median / High Price $31.58 / $45.00 / $79.29	Professional		$31.58	$45.00	$79.29