Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.80 / $125.04 / $2,871.70	Facility		$123.80	$125.04	$2,871.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.80 / $123.80 / $179.50	Professional		$123.80	$123.80	$179.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $122.86 / $146.28 / $247.49	Facility		$122.86	$146.28	$247.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.80 / $133.19 / $348.23	Professional		$123.80	$133.19	$348.23
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 $116.79 / $116.79 / $123.80	Facility		$116.79	$116.79	$123.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.80 / $123.80 / $151.83	Professional		$123.80	$123.80	$151.83
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $127.51 / $140.26 / $172.13	Professional		$127.51	$140.26	$172.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $115.75 / $154.75 / $280.56	Professional		$115.75	$154.75	$280.56
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $229.50 / $562.96 / $562.96	Facility		$229.50	$562.96	$562.96
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,125.88 / $3,125.88 / $3,125.88	Professional		$3,125.88	$3,125.88	$3,125.88
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 $123.80 / $136.18 / $213.34	Facility		$123.80	$136.18	$213.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $123.80 / $123.80 / $257.74	Professional		$123.80	$123.80	$257.74
United Facility/Professional Professional Modifier Low / Median / High Price $123.80 / $123.80 / $248.55	Professional		$123.80	$123.80	$248.55