Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $50.00 / $353.20	Facility		$10.00	$50.00	$353.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.01 / $10.24 / $51.81	Professional		$8.01	$10.24	$51.81
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 $23.62 / $66.28 / $112.07	Facility		$23.62	$66.28	$112.07
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $8.44 / $12.05 / $29.79	Professional		$8.44	$12.05	$29.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.99 / $35.06 / $90.37	Facility		$5.99	$35.06	$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 / $85.50	Professional		$30.18	$37.72	$85.50
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $60.37 / $179.22 / $179.22	Facility		$60.37	$179.22	$179.22
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.50 / $26.41 / $66.03	Facility		$10.50	$26.41	$66.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $9.88 / $13.26 / $75.45	Professional		$9.88	$13.26	$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 / $5.48 / $30.18	Professional		$5.05	$5.48	$30.18