Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.02 / $72.69 / $168.72	Facility		$21.02	$72.69	$168.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.30 / $21.02 / $31.30	Professional		$16.30	$21.02	$31.30
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 / $15.99 / $37.28	Professional		$12.38	$15.99	$37.28
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $34.17 / $80.55 / $144.44	Facility		$34.17	$80.55	$144.44
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $13.95 / $19.23 / $42.61	Professional		$13.95	$19.23	$42.61
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 $9.27 / $17.28 / $59.86	Professional		$9.27	$17.28	$59.86
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $17.28 / $17.28 / $20.74	Professional		$17.28	$17.28	$20.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $78.00 / $173.00 / $482.00	Professional		$78.00	$173.00	$482.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $40.49 / $124.96 / $125.21	Facility		$40.49	$124.96	$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 $36.11 / $56.76 / $85.00	Professional		$36.11	$56.76	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.47 / $26.72 / $45.79	Facility		$14.47	$26.72	$45.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $9.27 / $17.28 / $62.25	Professional		$9.27	$17.28	$62.25
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $17.28 / $24.79 / $42.14	Professional		$17.28	$24.79	$42.14
United Facility/Professional Professional Modifier Low / Median / High Price $6.88 / $12.73 / $55.57	Professional		$6.88	$12.73	$55.57