Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.72 / $50.72 / $51.22	Facility		$50.72	$50.72	$51.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.72 / $50.72 / $55.79	Professional		$50.72	$50.72	$55.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $44.26 / $52.69 / $89.15	Facility		$44.26	$52.69	$89.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.41 / $50.72 / $130.58	Professional		$45.41	$50.72	$130.58
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 $36.47 / $52.12 / $107.14	Professional		$36.47	$52.12	$107.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.84 / $47.84 / $50.71	Facility		$47.84	$47.84	$50.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.71 / $50.71 / $62.20	Professional		$50.71	$50.71	$62.20
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $52.05 / $57.26 / $70.27	Professional		$52.05	$57.26	$70.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $47.42 / $63.40 / $111.58	Professional		$47.42	$63.40	$111.58
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $97.75 / $229.79 / $229.79	Facility		$97.75	$229.79	$229.79
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $229.79 / $229.79 / $229.79	Professional		$229.79	$229.79	$229.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $70.26 / $106.70	Professional		$70.00	$70.26	$106.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $50.72 / $55.79 / $87.46	Facility		$50.72	$55.79	$87.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $50.71 / $50.71 / $81.08	Professional		$50.71	$50.71	$81.08
United Facility/Professional Professional Modifier Low / Median / High Price $50.72 / $50.72 / $108.02	Professional		$50.72	$50.72	$108.02