Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.83 / $15.83 / $17.34	Facility		$15.83	$15.83	$17.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.83 / $19.54 / $35.25	Professional		$15.83	$19.54	$35.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.72 / $22.29 / $37.71	Facility		$18.72	$22.29	$37.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.16 / $39.14 / $381.25	Professional		$19.16	$39.14	$381.25
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $52.55 / $100.00 / $100.00	Professional		$52.55	$100.00	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.44 / $32.44 / $32.44	Professional		$32.44	$32.44	$32.44
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $39.61 / $43.57 / $53.47	Professional		$39.61	$43.57	$53.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $49.51 / $91.10	Professional		$30.00	$49.51	$91.10
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $67.64 / $81.73 / $188.32	Facility		$67.64	$81.73	$188.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $199.29 / $199.29 / $301.95	Professional		$199.29	$199.29	$301.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $29.71 / $39.61 / $53.75	Facility		$29.71	$39.61	$53.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $32.44 / $32.44 / $42.35	Professional		$32.44	$32.44	$42.35
United Facility/Professional Professional Modifier Low / Median / High Price $20.81 / $20.81 / $58.49	Professional		$20.81	$20.81	$58.49