Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $35,481.34 / $74,131.02	Facility		$138.04	$35,481.34	$74,131.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $30.20 / $138.04	Professional		$28.84	$30.20	$138.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $38.02 / $95.50	Facility		$30.20	$38.02	$95.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $33.11 / $100.00	Professional		$30.20	$33.11	$100.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $56.23 / $56.23	Facility		$56.23	$56.23	$56.23
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $0.89 / $1.26 / $2.45	Professional		$0.89	$1.26	$2.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $28.18 / $30.20	Facility		$28.18	$28.18	$30.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $177.83 / $234.42	Professional		$30.90	$177.83	$234.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $173.78 / $269.15	Professional		$131.83	$173.78	$269.15
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $134.90 / $134.90	Facility		$134.90	$134.90	$134.90
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $134.90 / $134.90	Professional		$134.90	$134.90	$134.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $33.88 / $33.88	Professional		$30.90	$33.88	$33.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $38.02 / $218.78	Facility		$30.20	$38.02	$218.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $125.89	Professional		$125.89	$125.89	$125.89
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $45.71 / $165.96	Professional		$30.90	$45.71	$165.96
United Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $125.89 / $125.89	Professional		$30.20	$125.89	$125.89