Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $106.97 / $106.97 / $108.04	Facility		$106.97	$106.97	$108.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.97 / $106.97 / $117.66	Professional		$106.97	$106.97	$117.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $63.11 / $75.14 / $127.12	Facility		$63.11	$75.14	$127.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.75 / $97.12 / $162.52	Professional		$64.75	$97.12	$162.52
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $87.09 / $87.09 / $87.09	Facility		$87.09	$87.09	$87.09
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $51.95 / $74.20 / $152.75	Professional		$51.95	$74.20	$152.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.91 / $100.91 / $106.97	Facility		$100.91	$100.91	$106.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.97 / $106.97 / $112.05	Professional		$106.97	$106.97	$112.05
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $37.97 / $41.78 / $51.28	Professional		$37.97	$41.78	$51.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $100.02 / $133.71 / $235.33	Professional		$100.02	$133.71	$235.33
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $112.05 / $167.68 / $171.56	Facility		$112.05	$167.68	$171.56
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $252.11 / $268.45 / $504.23	Professional		$252.11	$268.45	$504.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $51.27 / $53.17 / $77.85	Professional		$51.27	$53.17	$77.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $106.97 / $109.08 / $182.32	Facility		$106.97	$109.08	$182.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $106.97 / $106.97 / $116.66	Professional		$106.97	$106.97	$116.66
United Facility/Professional Professional Modifier Low / Median / High Price $106.97 / $106.97 / $192.77	Professional		$106.97	$106.97	$192.77