Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $37.44 / $121.55	Facility		$13.80	$37.44	$121.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.02 / $13.80 / $15.64	Professional		$10.02	$13.80	$15.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $90.71 / $260.00 / $876.00	Facility		$90.71	$260.00	$876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.35 / $10.28 / $17.57	Professional		$9.35	$10.28	$17.57
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $36.06 / $81.51 / $171.12	Facility		$36.06	$81.51	$171.12
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $8.36 / $11.96 / $36.03	Professional		$8.36	$11.96	$36.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.14 / $24.16 / $60.22	Facility		$12.14	$24.16	$60.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.06 / $22.30 / $27.88	Professional		$21.06	$22.30	$27.88
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $18.39 / $18.39 / $99.00	Professional		$18.39	$18.39	$99.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $14.72 / $18.39 / $32.20	Professional		$14.72	$18.39	$32.20
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $32.02 / $87.40 / $87.40	Facility		$32.02	$87.40	$87.40
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 $9.57 / $18.39 / $44.03	Facility		$9.57	$18.39	$44.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.17 / $17.48 / $18.39	Professional		$14.17	$17.48	$18.39
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $14.72 / $18.39 / $25.76	Professional		$14.72	$18.39	$25.76
United Facility/Professional Professional Modifier Low / Median / High Price $7.73 / $7.73 / $26.98	Professional		$7.73	$7.73	$26.98