Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.94 / $83.94 / $83.94	Facility		$83.94	$83.94	$83.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.90 / $83.94 / $85.96	Professional		$80.90	$83.94	$85.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $83.78 / $99.75 / $168.77	Facility		$83.78	$99.75	$168.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.96 / $94.55 / $174.75	Professional		$85.96	$94.55	$174.75
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $96.60 / $150.38 / $268.54	Facility		$96.60	$150.38	$268.54
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $49.00 / $70.00 / $154.00	Professional		$49.00	$70.00	$154.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.96 / $85.96 / $85.96	Facility		$85.96	$85.96	$85.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.96 / $85.96 / $101.13	Professional		$85.96	$85.96	$101.13
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $95.72 / $95.72 / $114.86	Professional		$95.72	$95.72	$114.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $105.00 / $393.93 / $801.00	Professional		$105.00	$393.93	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $101.13 / $202.26 / $379.24	Facility		$101.13	$202.26	$379.24
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $844.00 / $844.00 / $844.00	Professional		$844.00	$844.00	$844.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $105.29 / $201.18 / $201.18	Professional		$105.29	$201.18	$201.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $85.96 / $92.59 / $131.06	Facility		$85.96	$92.59	$131.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $85.96 / $85.96 / $126.40	Professional		$85.96	$85.96	$126.40
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $95.72 / $95.72 / $124.44	Professional		$95.72	$95.72	$124.44
United Facility/Professional Professional Modifier Low / Median / High Price $136.47 / $136.47 / $262.16	Professional		$136.47	$136.47	$262.16