Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.00 / $37.96 / $123.30	Facility		$14.00	$37.96	$123.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.17 / $14.00 / $15.86	Professional		$10.17	$14.00	$15.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $91.99 / $260.00 / $876.00	Facility		$91.99	$260.00	$876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.65 / $8.49 / $15.30	Professional		$7.65	$8.49	$15.30
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $36.57 / $81.40 / $173.54	Facility		$36.57	$81.40	$173.54
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $8.49 / $12.13 / $34.49	Professional		$8.49	$12.13	$34.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.49 / $21.59 / $47.19	Facility		$12.49	$21.59	$47.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.48 / $22.72 / $28.40	Professional		$21.48	$22.72	$28.40
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $18.66 / $20.53 / $99.00	Professional		$18.66	$20.53	$99.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $14.93 / $18.66 / $32.65	Professional		$14.93	$18.66	$32.65
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $32.47 / $88.64 / $88.64	Facility		$32.47	$88.64	$88.64
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 $9.69 / $16.79 / $33.59	Facility		$9.69	$16.79	$33.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.37 / $17.73 / $18.66	Professional		$14.37	$17.73	$18.66
United Facility/Professional Professional Modifier Low / Median / High Price $7.84 / $7.84 / $35.85	Professional		$7.84	$7.84	$35.85