Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.47 / $73.94 / $184.55	Facility		$22.47	$73.94	$184.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.33 / $19.37 / $22.47	Professional		$3.33	$19.37	$22.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.10 / $486.00 / $876.00	Facility		$14.10	$486.00	$876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.39 / $18.51 / $82.28	Professional		$13.39	$18.51	$82.28
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $47.28 / $90.30 / $205.57	Facility		$47.28	$90.30	$205.57
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $16.73 / $22.35 / $35.13	Professional		$16.73	$22.35	$35.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.84 / $3.30 / $93.57	Facility		$0.84	$3.30	$93.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.05 / $26.85 / $33.56	Professional		$11.05	$26.85	$33.56
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $19.82 / $19.82 / $99.00	Professional		$19.82	$19.82	$99.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $21.81 / $59.00 / $393.93	Professional		$21.81	$59.00	$393.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $124.74 / $124.74 / $135.63	Facility		$124.74	$124.74	$135.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.49 / $14.49 / $20.00	Professional		$14.49	$14.49	$20.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1.19 / $11.83 / $63.15	Facility		$1.19	$11.83	$63.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $9.80 / $19.77 / $106.04	Professional		$9.80	$19.77	$106.04
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $20.23 / $32.70 / $45.79	Professional		$20.23	$32.70	$45.79
United Facility/Professional Professional Modifier Low / Median / High Price $7.90 / $13.79 / $45.78	Professional		$7.90	$13.79	$45.78