Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $70.79 / $117.49	Facility		$23.99	$70.79	$117.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $14.13 / $16.98	Professional		$10.96	$14.13	$16.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $87.10 / $87.10	Facility		$43.65	$87.10	$87.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $7.41 / $26.30	Professional		$5.89	$7.41	$26.30
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $74.13 / $165.96	Facility		$33.11	$74.13	$165.96
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.88 / $33.88	Professional		$10.00	$12.88	$33.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $22.91 / $57.54	Facility		$11.48	$22.91	$57.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $20.89 / $26.30	Professional		$12.30	$20.89	$26.30
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $19.05 / $100.00	Professional		$17.38	$19.05	$100.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $17.38 / $30.20	Professional		$13.80	$17.38	$30.20
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $81.28 / $81.28	Facility		$81.28	$81.28	$81.28
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 $8.91 / $19.50 / $44.67	Facility		$8.91	$19.50	$44.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $17.38 / $17.38	Professional		$12.30	$17.38	$17.38
United Facility/Professional Facility Modifier Low / Median / High Price $7.24 / $9.55 / $17.38	Facility		$7.24	$9.55	$17.38
United Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $7.94 / $30.90	Professional		$7.24	$7.94	$30.90