Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $12.50 / $27.50	Professional		$6.00	$12.50	$27.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.03 / $5.00 / $5.00	Professional		$0.03	$5.00	$5.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $4.59 / $6.57 / $14.45	Professional		$4.59	$6.57	$14.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $150.37 / $211.89 / $255.12	Professional		$150.37	$211.89	$255.12
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $20.00 / $24.00	Professional		$20.00	$20.00	$24.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $34.00 / $801.00	Professional		$25.00	$34.00	$801.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6.57 / $6.57 / $6.57	Professional		$6.57	$6.57	$6.57
Providence Facility/Professional Facility Modifier Low / Median / High Price $6.57 / $7.26 / $7.70	Facility		$6.57	$7.26	$7.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $5.00 / $6.57	Professional		$5.00	$5.00	$6.57