Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.02 / $3.02 / $3.02	Facility		$3.02	$3.02	$3.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.02 / $3.98	Professional		$3.02	$3.02	$3.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $18.20 / $45.71	Facility		$14.45	$18.20	$45.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $15.49 / $33.11	Professional		$3.47	$15.49	$33.11
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $58.88 / $97.72	Professional		$30.90	$58.88	$97.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $6.76 / $6.76	Professional		$6.76	$6.76	$6.76
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $25.70 / $31.62	Professional		$23.44	$25.70	$31.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $23.99 / $53.70	Professional		$8.91	$23.99	$53.70
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $114.82 / $114.82	Facility		$114.82	$114.82	$114.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $177.83 / $177.83	Professional		$134.90	$177.83	$177.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $3.55 / $23.44 / $28.18	Facility		$3.55	$23.44	$28.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $6.76 / $22.39	Professional		$6.76	$6.76	$22.39
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $7.94 / $20.89	Professional		$6.17	$7.94	$20.89
United Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $12.02 / $23.44	Professional		$10.23	$12.02	$23.44