Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $457.09 / $776.25	Facility		$154.88	$457.09	$776.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $91.20 / $117.49	Professional		$74.13	$91.20	$117.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $562.34 / $575.44	Facility		$281.84	$562.34	$575.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $8.91 / $169.82	Professional		$6.92	$8.91	$169.82
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $251.19 / $316.23	Facility		$81.28	$251.19	$316.23
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $85.11 / $204.17	Professional		$66.07	$85.11	$204.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $158.49 / $371.54	Facility		$75.86	$158.49	$371.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $138.04 / $169.82	Professional		$79.43	$138.04	$169.82
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $112.20 / $177.83	Professional		$100.00	$112.20	$177.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $112.20 / $194.98	Professional		$89.13	$112.20	$194.98
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $537.03 / $537.03	Facility		$537.03	$537.03	$537.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $19.95 / $19.95	Professional		$19.95	$19.95	$19.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $125.89 / $288.40	Facility		$58.88	$125.89	$288.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $112.20 / $112.20	Professional		$79.43	$112.20	$112.20
United Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $61.66 / $112.20	Facility		$46.77	$61.66	$112.20
United Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $51.29 / $199.53	Professional		$46.77	$51.29	$199.53