Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $98.11 / $98.11 / $99.09	Facility		$98.11	$98.11	$99.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.11 / $98.11 / $113.80	Professional		$98.11	$98.11	$113.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $97.85 / $116.50 / $197.12	Facility		$97.85	$116.50	$197.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $98.11 / $106.09 / $252.00	Professional		$98.11	$106.09	$252.00
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 $40.00 / $40.00 / $40.00	Professional		$40.00	$40.00	$40.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $92.55 / $92.55 / $98.11	Facility		$92.55	$92.55	$98.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.11 / $98.11 / $120.32	Professional		$98.11	$98.11	$120.32
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $93.57 / $102.92 / $126.31	Professional		$93.57	$102.92	$126.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $91.73 / $122.64 / $215.84	Professional		$91.73	$122.64	$215.84
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $240.04 / $413.10 / $1,059.00	Facility		$240.04	$413.10	$1,059.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $635.40 / $1,073.11 / $1,270.80	Professional		$635.40	$1,073.11	$1,270.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $85.00	Professional		$60.00	$60.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $98.11 / $107.92 / $173.85	Facility		$98.11	$107.92	$173.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $98.11 / $98.11 / $282.39	Professional		$98.11	$98.11	$282.39
United Facility/Professional Professional Modifier Low / Median / High Price $98.11 / $98.11 / $214.64	Professional		$98.11	$98.11	$214.64