Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.84 / $78.55 / $184.55	Facility		$21.84	$78.55	$184.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.60 / $22.47 / $33.82	Professional		$17.60	$22.47	$33.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.10 / $570.00 / $1,353.80	Facility		$14.10	$570.00	$1,353.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.39 / $21.30 / $45.26	Professional		$13.39	$21.30	$45.26
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $33.22 / $65.65 / $104.35	Facility		$33.22	$65.65	$104.35
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $8.68 / $11.96 / $26.49	Professional		$8.68	$11.96	$26.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.78 / $2.29 / $96.42	Facility		$0.78	$2.29	$96.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.35 / $18.27 / $67.44	Professional		$11.35	$18.27	$67.44
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $16.64 / $16.64 / $19.98	Professional		$16.64	$16.64	$19.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $134.00 / $393.93	Professional		$60.00	$134.00	$393.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $43.69 / $124.74 / $135.63	Facility		$43.69	$124.74	$135.63
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $199.62 / $199.62 / $199.62	Professional		$199.62	$199.62	$199.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $116.58 / $166.55	Professional		$60.00	$116.58	$166.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.11 / $28.85 / $49.94	Facility		$10.11	$28.85	$49.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.35 / $18.17 / $78.34	Professional		$11.35	$18.17	$78.34
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $16.64 / $23.88 / $40.60	Professional		$16.64	$23.88	$40.60
United Facility/Professional Professional Modifier Low / Median / High Price $8.86 / $13.79 / $70.83	Professional		$8.86	$13.79	$70.83