Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.47 / $64.88 / $167.29	Facility		$22.47	$64.88	$167.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.57 / $19.37 / $22.47	Professional		$18.57	$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 / $20.68 / $101.64	Professional		$13.39	$20.68	$101.64
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $39.65 / $87.40 / $205.57	Facility		$39.65	$87.40	$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 $11.35 / $26.85 / $33.56	Professional		$11.35	$26.85	$33.56
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $99.00 / $99.00 / $99.00	Professional		$99.00	$99.00	$99.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $27.00 / $75.00 / $393.93	Professional		$27.00	$75.00	$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 $20.00 / $20.00 / $20.00	Professional		$20.00	$20.00	$20.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1.19 / $15.14 / $60.28	Facility		$1.19	$15.14	$60.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.07 / $19.77 / $106.04	Professional		$11.07	$19.77	$106.04
United Facility/Professional Professional Modifier Low / Median / High Price $8.83 / $13.79 / $45.65	Professional		$8.83	$13.79	$45.65