Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.23 / $1.23 / $1.23	Facility		$1.23	$1.23	$1.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.23 / $1.84 / $2.59	Professional		$1.23	$1.84	$2.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.70 / $3.70 / $16.75	Facility		$3.70	$3.70	$16.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.61 / $3.61 / $11.65	Professional		$3.61	$3.61	$11.65
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $5.57 / $8.44 / $14.45	Professional		$5.57	$8.44	$14.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.64 / $3.64 / $3.64	Facility		$3.64	$3.64	$3.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.53 / $3.53 / $3.53	Professional		$3.53	$3.53	$3.53
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $0.11 / $0.11 / $0.13	Professional		$0.11	$0.11	$0.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $5.00 / $283.26	Professional		$4.00	$5.00	$283.26
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5.14 / $90.00 / $90.00	Facility		$5.14	$90.00	$90.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $22.65 / $22.96 / $23.88	Professional		$22.65	$22.96	$23.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.86 / $60.00 / $85.00	Professional		$9.86	$60.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1.50 / $3.68 / $5.87	Facility		$1.50	$3.68	$5.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $3.53 / $3.53 / $7.88	Professional		$3.53	$3.53	$7.88
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $0.10 / $0.10 / $0.12	Professional		$0.10	$0.10	$0.12
United Facility/Professional Professional Modifier Low / Median / High Price $1.15 / $1.73 / $3.66	Professional		$1.15	$1.73	$3.66