Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.09 / $76.09 / $76.84	Facility		$76.09	$76.09	$76.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.09 / $76.09 / $83.70	Professional		$76.09	$76.09	$83.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $77.22 / $91.94 / $155.55	Facility		$77.22	$91.94	$155.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.09 / $83.71 / $227.03	Professional		$76.09	$83.71	$227.03
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $87.40 / $100.00 / $1,445.35	Facility		$87.40	$100.00	$1,445.35
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $57.07 / $100.00 / $183.20	Professional		$57.07	$100.00	$183.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $71.78 / $71.78 / $76.09	Facility		$71.78	$71.78	$76.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.09 / $76.09 / $93.32	Professional		$76.09	$76.09	$93.32
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $85.03 / $93.54 / $114.80	Professional		$85.03	$93.54	$114.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $71.14 / $95.11 / $167.40	Professional		$71.14	$95.11	$167.40
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $285.18 / $375.43 / $671.00	Facility		$285.18	$375.43	$671.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $404.97 / $408.74 / $1,274.90	Professional		$404.97	$408.74	$1,274.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $114.79 / $174.31	Professional		$70.00	$114.79	$174.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $76.09 / $83.70 / $130.90	Facility		$76.09	$83.70	$130.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $76.09 / $76.09 / $151.11	Professional		$76.09	$76.09	$151.11
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $60.87 / $85.03 / $102.04	Professional		$60.87	$85.03	$102.04
United Facility/Professional Professional Modifier Low / Median / High Price $76.09 / $76.09 / $152.77	Professional		$76.09	$76.09	$152.77