Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.21 / $51.00 / $123.58	Facility		$16.21	$51.00	$123.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.20 / $16.67 / $24.83	Professional		$13.20	$16.67	$24.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $570.00 / $1,459.21	Facility		$10.47	$570.00	$1,459.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.94 / $15.99 / $43.75	Professional		$9.94	$15.99	$43.75
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $34.52 / $81.55 / $156.01	Facility		$34.52	$81.55	$156.01
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 $0.57 / $1.76 / $71.30	Facility		$0.57	$1.76	$71.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.49 / $14.22 / $49.65	Professional		$8.49	$14.22	$49.65
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 $33.00 / $73.00 / $393.93	Professional		$33.00	$73.00	$393.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $32.77 / $93.58 / $99.86	Facility		$32.77	$93.58	$99.86
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $147.55 / $147.55 / $147.55	Professional		$147.55	$147.55	$147.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.14 / $52.08 / $85.00	Professional		$33.14	$52.08	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.20 / $21.64 / $34.40	Facility		$13.20	$21.64	$34.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $8.99 / $14.22 / $52.63	Professional		$8.99	$14.22	$52.63
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 $6.51 / $10.16 / $45.10	Professional		$6.51	$10.16	$45.10