Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $91.20 / $251.19	Facility		$40.74	$91.20	$251.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $114.82 / $114.82	Professional		$69.18	$114.82	$114.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $72.44	Professional		$30.20	$30.20	$72.44
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $165.96 / $251.19	Facility		$95.50	$165.96	$251.19
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $75.86	Professional		$39.81	$39.81	$75.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.62 / $1.62 / $1.62	Professional		$1.62	$1.62	$1.62
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $77.62 / $93.33	Professional		$77.62	$77.62	$93.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $257.04 / $831.76	Professional		$85.11	$257.04	$831.76
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $104.71 / $104.71	Facility		$104.71	$104.71	$104.71
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $194.98	Professional		$194.98	$194.98	$194.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $114.82 / $194.98	Facility		$69.18	$114.82	$194.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $165.96 / $165.96	Professional		$165.96	$165.96	$165.96
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $93.33 / $131.83	Professional		$77.62	$93.33	$131.83
United Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $117.49 / $181.97	Facility		$114.82	$117.49	$181.97
United Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $79.43	Professional		$44.67	$44.67	$79.43