Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.27 / $67.27 / $67.95	Facility		$67.27	$67.27	$67.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.27 / $67.27 / $74.00	Professional		$67.27	$67.27	$74.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $64.64 / $76.95 / $130.21	Facility		$64.64	$76.95	$130.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.31 / $70.06 / $218.32	Professional		$66.31	$70.06	$218.32
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 $63.47 / $63.47 / $67.27	Facility		$63.47	$63.47	$67.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.27 / $67.27 / $82.50	Professional		$67.27	$67.27	$82.50
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $75.45 / $83.00 / $101.86	Professional		$75.45	$83.00	$101.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $62.90 / $84.09 / $152.44	Professional		$62.90	$84.09	$152.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $176.32 / $333.17 / $768.75	Facility		$176.32	$333.17	$768.75
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $410.00 / $410.00 / $779.00	Professional		$410.00	$410.00	$779.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $83.00 / $85.00	Professional		$70.00	$83.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $67.27 / $74.00 / $114.58	Facility		$67.27	$74.00	$114.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $67.27 / $67.27 / $101.83	Professional		$67.27	$67.27	$101.83
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $53.82 / $75.45 / $90.55	Professional		$53.82	$75.45	$90.55
United Facility/Professional Professional Modifier Low / Median / High Price $67.27 / $67.27 / $137.31	Professional		$67.27	$67.27	$137.31