Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $93.33 / $158.49	Facility		$28.18	$93.33	$158.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $33.11 / $41.69	Professional		$19.95	$33.11	$41.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $218.78 / $218.78	Facility		$109.65	$218.78	$218.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.57 / $5.89 / $11.22	Professional		$4.57	$5.89	$11.22
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $33.88 / $89.13	Professional		$25.70	$33.88	$89.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $72.44 / $154.88	Facility		$28.84	$72.44	$154.88
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $47.86 / $58.88	Professional		$34.67	$47.86	$58.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $47.86 / $75.86	Professional		$38.90	$47.86	$75.86
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $204.17 / $204.17	Facility		$204.17	$204.17	$204.17
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $323.59 / $323.59	Professional		$218.78	$323.59	$323.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $52.48 / $114.82	Facility		$28.84	$52.48	$114.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $47.86 / $63.10	Professional		$43.65	$47.86	$63.10
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $43.65 / $524.81	Professional		$34.67	$43.65	$524.81
United Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $43.65 / $43.65	Facility		$18.20	$43.65	$43.65
United Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $18.20 / $83.18	Professional		$18.20	$18.20	$83.18