Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.29 / $189.54 / $879.00	Facility		$27.29	$189.54	$879.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.50 / $25.70 / $26.81	Professional		$22.50	$25.70	$26.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.68 / $486.00 / $876.00	Facility		$16.68	$486.00	$876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.84 / $23.54 / $101.64	Professional		$15.84	$23.54	$101.64
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $38.68 / $75.80 / $129.58	Facility		$38.68	$75.80	$129.58
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $10.19 / $13.61 / $21.38	Professional		$10.19	$13.61	$21.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.00 / $3.92 / $110.68	Facility		$1.00	$3.92	$110.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.55 / $31.80 / $39.75	Professional		$13.55	$31.80	$39.75
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 $40.00 / $89.00 / $393.93	Professional		$40.00	$89.00	$393.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $95.24 / $170.00 / $170.00	Facility		$95.24	$170.00	$170.00
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 $1.41 / $16.97 / $71.95	Facility		$1.41	$16.97	$71.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.34 / $22.92 / $126.28	Professional		$12.34	$22.92	$126.28
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $12.50 / $12.50 / $12.50	Professional		$12.50	$12.50	$12.50
United Facility/Professional Professional Modifier Low / Median / High Price $9.76 / $16.37 / $70.14	Professional		$9.76	$16.37	$70.14