Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.89 / $20.32 / $62.80	Facility		$7.89	$20.32	$62.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.89 / $7.89 / $7.89	Professional		$7.89	$7.89	$7.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $203.00 / $419.64 / $876.00	Facility		$203.00	$419.64	$876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.77 / $48.51 / $72.03	Professional		$45.77	$48.51	$72.03
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $15,368.05 / $18,380.30 / $22,396.63	Facility		$15,368.05	$18,380.30	$22,396.63
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $38.11 / $54.44 / $100.00	Professional		$38.11	$54.44	$100.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $55.26 / $112.42 / $274.11	Facility		$55.26	$112.42	$274.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.23 / $120.29 / $127.51	Professional		$96.23	$120.29	$127.51
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $83.76 / $92.14 / $134.02	Professional		$83.76	$92.14	$134.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $67.01 / $83.76 / $146.58	Professional		$67.01	$83.76	$146.58
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $145.74 / $397.86 / $397.86	Facility		$145.74	$397.86	$397.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $20.00 / $20.00	Professional		$20.00	$20.00	$20.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $43.55 / $81.25 / $186.90	Facility		$43.55	$81.25	$186.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $68.68 / $83.76 / $85.44	Professional		$68.68	$83.76	$85.44
United Facility/Professional Professional Modifier Low / Median / High Price $35.18 / $35.18 / $122.83	Professional		$35.18	$35.18	$122.83