Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.92 / $90.91 / $90.91	Facility		$78.92	$90.91	$90.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.84 / $72.78 / $90.91	Professional		$61.84	$72.78	$90.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $84.16 / $101.75 / $267.99	Facility		$84.16	$101.75	$267.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.50 / $89.50 / $140.56	Professional		$61.50	$89.50	$140.56
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $129.15 / $184.50 / $409.59	Professional		$129.15	$184.50	$409.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $86.12 / $86.12 / $86.12	Facility		$86.12	$86.12	$86.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.51 / $63.51 / $63.51	Professional		$63.51	$63.51	$63.51
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $174.06 / $174.06 / $208.87	Professional		$174.06	$174.06	$208.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $244.94 / $312.98 / $476.28	Professional		$244.94	$312.98	$476.28
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $148.44 / $423.80 / $423.80	Facility		$148.44	$423.80	$423.80
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $653.40 / $847.90 / $847.90	Professional		$653.40	$847.90	$847.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $70.00 / $244.72	Professional		$60.00	$70.00	$244.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $52.81 / $112.41 / $362.00	Facility		$52.81	$112.41	$362.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $63.51 / $63.51 / $375.59	Professional		$63.51	$63.51	$375.59
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $86.27 / $244.94 / $299.38	Professional		$86.27	$244.94	$299.38
United Facility/Professional Professional Modifier Low / Median / High Price $136.76 / $199.28 / $488.07	Professional		$136.76	$199.28	$488.07