Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $263.03 / $436.52	Facility		$89.13	$263.03	$436.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $52.48 / $64.57	Professional		$41.69	$52.48	$64.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $323.59 / $323.59	Facility		$162.18	$323.59	$323.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $10.47 / $60.26	Professional		$6.92	$10.47	$60.26
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $147.91 / $616.60	Facility		$60.26	$147.91	$616.60
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $50.12 / $147.91	Professional		$37.15	$50.12	$147.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $107.15 / $213.80	Facility		$42.66	$107.15	$213.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $77.62 / $97.72	Professional		$74.13	$77.62	$97.72
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $70.79 / $102.33	Professional		$64.57	$70.79	$102.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $64.57 / $112.20	Professional		$51.29	$64.57	$112.20
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $302.00 / $302.00	Facility		$302.00	$302.00	$302.00
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 $33.11 / $74.13 / $162.18	Facility		$33.11	$74.13	$162.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $64.57 / $70.79	Professional		$48.98	$64.57	$70.79
United Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $35.48 / $64.57	Facility		$26.92	$35.48	$64.57
United Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $26.92 / $114.82	Professional		$26.92	$26.92	$114.82