Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $75.86 / $125.89	Facility		$25.70	$75.86	$125.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $15.14 / $18.20	Professional		$12.02	$15.14	$18.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $91.20 / $93.33	Facility		$46.77	$91.20	$93.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $11.22 / $28.18	Professional		$9.33	$11.22	$28.18
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $77.62 / $177.83	Facility		$35.48	$77.62	$177.83
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $13.80 / $36.31	Professional		$10.72	$13.80	$36.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $25.70 / $61.66	Facility		$12.30	$25.70	$61.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $22.39 / $28.18	Professional		$13.18	$22.39	$28.18
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $18.20 / $29.51	Professional		$18.20	$18.20	$29.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $18.20 / $32.36	Professional		$14.79	$18.20	$32.36
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $87.10 / $87.10	Facility		$87.10	$87.10	$87.10
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 $9.55 / $20.89 / $46.77	Facility		$9.55	$20.89	$46.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $18.20 / $18.20	Professional		$13.18	$18.20	$18.20
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $18.62 / $31.62	Professional		$14.79	$18.62	$31.62
United Facility/Professional Facility Modifier Low / Median / High Price $7.76 / $10.00 / $18.20	Facility		$7.76	$10.00	$18.20
United Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $7.76 / $33.11	Professional		$7.76	$7.76	$33.11