Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.80 / $395.25 / $973.15	Facility		$49.80	$395.25	$973.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.30 / $19.22 / $53.87	Professional		$16.30	$19.22	$53.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.44 / $486.00 / $876.00	Facility		$12.44	$486.00	$876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.81 / $18.51 / $25.95	Professional		$11.81	$18.51	$25.95
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $24.85 / $56.92 / $376.01	Facility		$24.85	$56.92	$376.01
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $17.85 / $23.84 / $37.46	Professional		$17.85	$23.84	$37.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.76 / $2.97 / $82.52	Facility		$0.76	$2.97	$82.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.52 / $23.95 / $30.20	Professional		$10.52	$23.95	$30.20
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 $35.00 / $96.00 / $393.93	Professional		$35.00	$96.00	$393.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $90.00 / $128.00 / $128.00	Facility		$90.00	$128.00	$128.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $26.96 / $28.04 / $115.00	Professional		$26.96	$28.04	$115.00
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 $1.05 / $13.58 / $57.68	Facility		$1.05	$13.58	$57.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.07 / $17.71 / $95.10	Professional		$10.07	$17.71	$95.10
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 $7.90 / $12.28 / $39.81	Professional		$7.90	$12.28	$39.81