Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.41 / $62.41 / $63.04	Facility		$62.41	$62.41	$63.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.41 / $62.41 / $74.90	Professional		$62.41	$62.41	$74.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $58.29 / $69.40 / $117.42	Facility		$58.29	$69.40	$117.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.81 / $64.89 / $168.59	Professional		$59.81	$64.89	$168.59
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $0.70 / $1.00 / $2.50	Professional		$0.70	$1.00	$2.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $58.88 / $62.41	Facility		$58.88	$58.88	$62.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.41 / $62.41 / $76.55	Professional		$62.41	$62.41	$76.55
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $59.54 / $65.50 / $80.38	Professional		$59.54	$65.50	$80.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $58.35 / $78.01 / $137.30	Professional		$58.35	$78.01	$137.30
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $97.50 / $262.88 / $286.27	Facility		$97.50	$262.88	$286.27
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $288.95 / $332.08 / $371.52	Professional		$288.95	$332.08	$371.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.49 / $80.37 / $122.05	Professional		$65.49	$80.37	$122.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $62.41 / $68.66 / $107.51	Facility		$62.41	$68.66	$107.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $62.41 / $62.41 / $105.02	Professional		$62.41	$62.41	$105.02
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $49.93 / $59.54 / $71.45	Professional		$49.93	$59.54	$71.45
United Facility/Professional Facility Modifier Low / Median / High Price $280.81 / $295.94 / $295.94	Facility		$280.81	$295.94	$295.94
United Facility/Professional Professional Modifier Low / Median / High Price $62.41 / $62.41 / $119.89	Professional		$62.41	$62.41	$119.89