Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.95 / $35.11 / $114.07	Facility		$12.95	$35.11	$114.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.41 / $12.95 / $14.68	Professional		$9.41	$12.95	$14.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $85.14 / $260.00 / $876.00	Facility		$85.14	$260.00	$876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.92 / $6.57 / $13.26	Professional		$5.92	$6.57	$13.26
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $33.85 / $78.23 / $160.61	Facility		$33.85	$78.23	$160.61
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $7.86 / $11.23 / $33.83	Professional		$7.86	$11.23	$33.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.57 / $22.68 / $56.54	Facility		$11.57	$22.68	$56.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.82 / $21.06 / $26.33	Professional		$19.82	$21.06	$26.33
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $17.27 / $19.00 / $99.00	Professional		$17.27	$19.00	$99.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $13.82 / $17.27 / $30.22	Professional		$13.82	$17.27	$30.22
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $30.05 / $82.03 / $82.03	Facility		$30.05	$82.03	$82.03
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 $8.98 / $17.27 / $40.94	Facility		$8.98	$17.27	$40.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.30 / $16.41 / $17.27	Professional		$13.30	$16.41	$17.27
United Facility/Professional Facility Modifier Low / Median / High Price $7.25 / $17.27 / $17.27	Facility		$7.25	$17.27	$17.27
United Facility/Professional Professional Modifier Low / Median / High Price $7.25 / $7.25 / $25.33	Professional		$7.25	$7.25	$25.33