Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.02 / $64.95 / $155.85	Facility		$21.02	$64.95	$155.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.30 / $20.59 / $30.04	Professional		$16.30	$20.59	$30.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.04 / $171.91 / $876.00	Facility		$13.04	$171.91	$876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.38 / $22.48 / $55.56	Professional		$12.38	$22.48	$55.56
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $44.60 / $92.60 / $269.88	Facility		$44.60	$92.60	$269.88
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $26.02 / $35.86 / $79.92	Professional		$26.02	$35.86	$79.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.73 / $2.20 / $89.10	Facility		$0.73	$2.20	$89.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.26 / $18.03 / $65.36	Professional		$11.26	$18.03	$65.36
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $25.16 / $25.16 / $30.19	Professional		$25.16	$25.16	$30.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $21.00 / $47.00 / $393.93	Professional		$21.00	$47.00	$393.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $40.49 / $115.57 / $125.21	Facility		$40.49	$115.57	$125.21
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $184.46 / $184.46 / $184.46	Professional		$184.46	$184.46	$184.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $85.00	Professional		$60.00	$60.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.17 / $29.93 / $48.40	Facility		$17.17	$29.93	$48.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.39 / $18.03 / $65.66	Professional		$11.39	$18.03	$65.66
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $25.16 / $36.09 / $61.35	Professional		$25.16	$36.09	$61.35
United Facility/Professional Professional Modifier Low / Median / High Price $9.14 / $12.73 / $56.79	Professional		$9.14	$12.73	$56.79