Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.70 / $64.27 / $208.79	Facility		$23.70	$64.27	$208.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.22 / $23.70 / $26.86	Professional		$17.22	$23.70	$26.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $155.79 / $260.00 / $876.00	Facility		$155.79	$260.00	$876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.41 / $4.88 / $23.19	Professional		$4.41	$4.88	$23.19
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $40.15 / $65.09 / $89.11	Facility		$40.15	$65.09	$89.11
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $14.38 / $20.54 / $50.77	Professional		$14.38	$20.54	$50.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.16 / $36.56 / $79.90	Facility		$21.16	$36.56	$79.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.34 / $45.43 / $48.01	Professional		$36.34	$45.43	$48.01
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $31.60 / $34.76 / $99.00	Professional		$31.60	$34.76	$99.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $25.28 / $31.60 / $55.30	Professional		$25.28	$31.60	$55.30
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $150.10 / $150.10	Facility		$80.00	$150.10	$150.10
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 $16.43 / $28.44 / $56.88	Facility		$16.43	$28.44	$56.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $25.91 / $31.60 / $34.76	Professional		$25.91	$31.60	$34.76
United Facility/Professional Professional Modifier Low / Median / High Price $13.27 / $13.27 / $46.34	Professional		$13.27	$13.27	$46.34