Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.41 / $89.41 / $90.30	Facility		$89.41	$89.41	$90.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.41 / $89.41 / $98.35	Professional		$89.41	$89.41	$98.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $90.75 / $108.04 / $182.80	Facility		$90.75	$108.04	$182.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.41 / $98.38 / $236.52	Professional		$89.41	$98.38	$236.52
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 $67.06 / $100.00 / $124.72	Professional		$67.06	$100.00	$124.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $84.35 / $84.35 / $89.41	Facility		$84.35	$84.35	$89.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.41 / $89.41 / $109.65	Professional		$89.41	$89.41	$109.65
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $86.52 / $87.18 / $117.69	Professional		$86.52	$87.18	$117.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $83.60 / $111.76 / $205.64	Professional		$83.60	$111.76	$205.64
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $191.25 / $384.93 / $384.93	Facility		$191.25	$384.93	$384.93
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $436.14 / $436.14 / $436.14	Professional		$436.14	$436.14	$436.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $461.25	Professional		$60.00	$60.00	$461.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $89.41 / $98.35 / $153.72	Facility		$89.41	$98.35	$153.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $89.41 / $89.41 / $161.05	Professional		$89.41	$89.41	$161.05
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $71.53 / $86.52 / $103.82	Professional		$71.53	$86.52	$103.82
United Facility/Professional Professional Modifier Low / Median / High Price $89.41 / $89.41 / $213.53	Professional		$89.41	$89.41	$213.53