Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.68 / $5.37 / $5.37	Facility		$4.68	$5.37	$5.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.57 / $16.22 / $30.90	Professional		$4.57	$16.22	$30.90
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $14.79 / $28.18	Professional		$10.47	$14.79	$28.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,623.41 / $5,623.41 / $6,165.95	Facility		$5,623.41	$5,623.41	$6,165.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $15.85 / $19.50	Professional		$15.85	$15.85	$19.50
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $223.87 / $524.81	Professional		$75.86	$223.87	$524.81
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $85.11	Facility		$50.12	$50.12	$85.11
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 $16.22 / $28.18 / $6,165.95	Facility		$16.22	$28.18	$6,165.95
United Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $13.18 / $13.18	Facility		$13.18	$13.18	$13.18
United Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $19.05 / $19.05	Professional		$11.48	$19.05	$19.05