Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.98 / $87.98 / $88.86	Facility		$87.98	$87.98	$88.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.98 / $87.98 / $96.77	Professional		$87.98	$87.98	$96.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $77.68 / $93.39 / $158.01	Facility		$77.68	$93.39	$158.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.48 / $87.98 / $226.83	Professional		$80.48	$87.98	$226.83
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 $65.98 / $100.00 / $230.22	Professional		$65.98	$100.00	$230.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.00 / $83.00 / $87.98	Facility		$83.00	$83.00	$87.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.98 / $87.98 / $87.98	Professional		$87.98	$87.98	$87.98
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $95.15 / $104.66 / $128.44	Professional		$95.15	$104.66	$128.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $82.26 / $109.98 / $193.56	Professional		$82.26	$109.98	$193.56
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $117.03 / $420.08 / $530.54	Facility		$117.03	$420.08	$530.54
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $450.24 / $558.10 / $578.88	Professional		$450.24	$558.10	$578.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $104.66 / $128.45 / $195.05	Professional		$104.66	$128.45	$195.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $87.98 / $96.77 / $151.50	Facility		$87.98	$96.77	$151.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.98 / $87.98 / $163.63	Professional		$87.98	$87.98	$163.63
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $70.38 / $95.15 / $114.18	Professional		$70.38	$95.15	$114.18
United Facility/Professional Professional Modifier Low / Median / High Price $87.98 / $87.98 / $167.19	Professional		$87.98	$87.98	$167.19