Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $52.50 / $221.25	Facility		$10.00	$52.50	$221.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.57 / $10.24 / $98.10	Professional		$6.57	$10.24	$98.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.44 / $75.51 / $312.00	Facility		$40.44	$75.51	$312.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.82 / $4.96 / $23.01	Professional		$4.82	$4.96	$23.01
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $23.86 / $66.40 / $112.07	Facility		$23.86	$66.40	$112.07
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $8.44 / $12.05 / $29.88	Professional		$8.44	$12.05	$29.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.42 / $38.25 / $90.37	Facility		$8.42	$38.25	$90.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.04 / $45.84 / $57.30	Professional		$27.04	$45.84	$57.30
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $12.05 / $37.72 / $60.37	Professional		$12.05	$37.72	$60.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $30.18 / $37.72 / $84.00	Professional		$30.18	$37.72	$84.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $65.65 / $179.22 / $179.22	Facility		$65.65	$179.22	$179.22
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.50 / $30.18 / $66.03	Facility		$10.50	$30.18	$66.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $9.88 / $12.29 / $75.45	Professional		$9.88	$12.29	$75.45
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $12.29 / $20.49 / $33.96	Professional		$12.29	$20.49	$33.96
United Facility/Professional Professional Modifier Low / Median / High Price $5.05 / $5.27 / $26.61	Professional		$5.05	$5.27	$26.61