Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $12.88 / $69.18	Facility		$12.02	$12.88	$69.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.02 / $54.95	Professional		$10.00	$12.02	$54.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $4,466.84 / $12,882.50	Facility		$2,511.89	$4,466.84	$12,882.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $24.55 / $46.77	Professional		$16.60	$24.55	$46.77
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $549.54 / $5,754.40	Facility		$66.07	$549.54	$5,754.40
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $14.45 / $32.36	Professional		$10.23	$14.45	$32.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $16.60 / $60.26	Professional		$12.59	$16.60	$60.26
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $338.84 / $354.81	Professional		$338.84	$338.84	$354.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $14.13 / $30.20	Professional		$10.00	$14.13	$30.20
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $1,288.25	Facility		$54.95	$56.23	$1,288.25
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $602.56 / $602.56	Professional		$602.56	$602.56	$602.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $16.60 / $77.62	Facility		$11.48	$16.60	$77.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $16.60 / $61.66	Professional		$12.59	$16.60	$61.66
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $10.23 / $12.59	Professional		$9.12	$10.23	$12.59
United Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $1,584.89 / $6,456.54	Facility		$588.84	$1,584.89	$6,456.54
United Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $13.80 / $34.67	Professional		$10.00	$13.80	$34.67