Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.91 / $39,327.21 / $74,757.27	Facility		$29.91	$39,327.21	$74,757.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.91 / $29.91 / $34.70	Professional		$29.91	$29.91	$34.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.92 / $35.61 / $60.27	Facility		$29.92	$35.61	$60.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.91 / $32.44 / $82.78	Professional		$29.91	$32.44	$82.78
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $56.27 / $56.27 / $56.27	Facility		$56.27	$56.27	$56.27
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 $28.22 / $28.22 / $29.91	Facility		$28.22	$28.22	$29.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.91 / $29.91 / $29.91	Professional		$29.91	$29.91	$29.91
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $30.59 / $33.65 / $41.30	Professional		$30.59	$33.65	$41.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $27.97 / $37.39 / $65.80	Professional		$27.97	$37.39	$65.80
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $135.06 / $135.06	Facility		$75.00	$135.06	$135.06
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $135.06 / $135.06 / $135.06	Professional		$135.06	$135.06	$135.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.64 / $41.29 / $70.00	Professional		$33.64	$41.29	$70.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $29.91 / $32.90 / $50.68	Facility		$29.91	$32.90	$50.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $29.91 / $29.91 / $38.24	Professional		$29.91	$29.91	$38.24
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $23.93 / $30.59 / $36.71	Professional		$23.93	$30.59	$36.71
United Facility/Professional Professional Modifier Low / Median / High Price $29.91 / $29.91 / $56.03	Professional		$29.91	$29.91	$56.03