Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.55 / $53.19 / $1,973.00	Facility		$9.55	$53.19	$1,973.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.16 / $25.57 / $144.00	Professional		$9.16	$25.57	$144.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,615.00 / $4,465.00 / $9,381.00	Facility		$1,615.00	$4,465.00	$9,381.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.20 / $13.33 / $82.95	Professional		$0.20	$13.33	$82.95
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $77.09 / $100.00 / $27,955.87	Facility		$77.09	$100.00	$27,955.87
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $9.13 / $21.28 / $44.85	Professional		$9.13	$21.28	$44.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.69 / $27.33 / $73.16	Professional		$9.69	$27.33	$73.16
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $20.85 / $26.06 / $32.86	Professional		$20.85	$26.06	$32.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $113.00 / $151.00 / $1,619.00	Professional		$113.00	$151.00	$1,619.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $61.56 / $65.20	Facility		$55.00	$61.56	$65.20
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $183.00 / $261.00 / $338.92	Professional		$183.00	$261.00	$338.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.58 / $32.08 / $52.73	Facility		$10.58	$32.08	$52.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $9.69 / $27.88 / $74.48	Professional		$9.69	$27.88	$74.48
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $10.92 / $32.86 / $46.91	Professional		$10.92	$32.86	$46.91
United Facility/Professional Facility Modifier Low / Median / High Price $526.00 / $1,523.00 / $6,920.00	Facility		$526.00	$1,523.00	$6,920.00
United Facility/Professional Professional Modifier Low / Median / High Price $22.48 / $31.60 / $84.20	Professional		$22.48	$31.60	$84.20