Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.51 / $57.45 / $120.62	Facility		$26.51	$57.45	$120.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.51 / $26.77 / $45.21	Professional		$26.51	$26.77	$45.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.12 / $42.34 / $95.26	Facility		$28.12	$42.34	$95.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.51 / $29.92 / $85.16	Professional		$26.51	$29.92	$85.16
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.20 / $76.09 / $123.01	Facility		$64.20	$76.09	$123.01
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $26.51 / $27.84 / $83.06	Professional		$26.51	$27.84	$83.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.83 / $20.83 / $26.51	Facility		$20.83	$20.83	$26.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.51 / $26.51 / $31.25	Professional		$26.51	$26.51	$31.25
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $33.09 / $36.78 / $49.65	Professional		$33.09	$36.78	$49.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $23.86 / $31.81 / $62.00	Professional		$23.86	$31.81	$62.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $86.02 / $162.40 / $165.45	Facility		$86.02	$162.40	$165.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $253.17 / $253.17 / $253.17	Professional		$253.17	$253.17	$253.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.39 / $75.39 / $75.39	Professional		$75.39	$75.39	$75.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $26.51 / $28.10 / $47.07	Facility		$26.51	$28.10	$47.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $26.51 / $26.51 / $54.35	Professional		$26.51	$26.51	$54.35
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $21.21 / $26.51 / $39.76	Professional		$21.21	$26.51	$39.76
United Facility/Professional Professional Modifier Low / Median / High Price $26.51 / $26.51 / $52.27	Professional		$26.51	$26.51	$52.27