Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.65 / $23.46 / $76.18	Facility		$8.65	$23.46	$76.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $8.65 / $9.80	Professional		$6.00	$8.65	$9.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $56.84 / $260.00 / $876.00	Facility		$56.84	$260.00	$876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.91 / $7.32 / $11.99	Professional		$6.91	$7.32	$11.99
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $22.60 / $64.34 / $108.50	Facility		$22.60	$64.34	$108.50
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $5.24 / $7.49 / $27.53	Professional		$5.24	$7.49	$27.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.60 / $15.13 / $37.71	Facility		$7.60	$15.13	$37.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.22 / $14.04 / $17.55	Professional		$13.22	$14.04	$17.55
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $11.53 / $11.53 / $99.00	Professional		$11.53	$11.53	$99.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $9.22 / $11.53 / $20.18	Professional		$9.22	$11.53	$20.18
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $20.05 / $60.00 / $60.00	Facility		$20.05	$60.00	$60.00
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 $6.00 / $11.53 / $27.81	Facility		$6.00	$11.53	$27.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $8.88 / $10.95 / $11.53	Professional		$8.88	$10.95	$11.53
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $9.22 / $11.53 / $16.14	Professional		$9.22	$11.53	$16.14
United Facility/Professional Professional Modifier Low / Median / High Price $4.84 / $4.84 / $17.64	Professional		$4.84	$4.84	$17.64