Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.45 / $3.45 / $3.45	Facility		$3.45	$3.45	$3.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.33 / $3.45 / $4.99	Professional		$3.33	$3.45	$4.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.10 / $16.79 / $28.41	Facility		$14.10	$16.79	$28.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $14.47 / $24.91	Professional		$3.47	$14.47	$24.91
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $30.22 / $85.62 / $98.46	Professional		$30.22	$85.62	$98.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.78 / $6.78 / $6.78	Professional		$6.78	$6.78	$6.78
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $22.77 / $25.05 / $30.74	Professional		$22.77	$25.05	$30.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $11.39 / $28.46 / $52.37	Professional		$11.39	$28.46	$52.37
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $45.01 / $75.00 / $115.97	Facility		$45.01	$75.00	$115.97
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $133.41 / $133.41 / $177.53	Professional		$133.41	$133.41	$177.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $4.16 / $22.77 / $27.32	Facility		$4.16	$22.77	$27.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $6.78 / $6.78 / $26.69	Professional		$6.78	$6.78	$26.69
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $6.13 / $6.74 / $18.22	Professional		$6.13	$6.74	$18.22
United Facility/Professional Professional Modifier Low / Median / High Price $11.96 / $11.96 / $33.63	Professional		$11.96	$11.96	$33.63