Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $75.00 / $75.00	Facility		$75.00	$75.00	$75.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.73 / $75.00 / $78.91	Professional		$53.73	$75.00	$78.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $109.64 / $130.55 / $220.87	Facility		$109.64	$130.55	$220.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.58 / $150.00 / $150.00	Professional		$49.58	$150.00	$150.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $111.58 / $157.93 / $255.66	Professional		$111.58	$157.93	$255.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.79 / $47.79 / $47.79	Professional		$47.79	$47.79	$47.79
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $71.56 / $71.56 / $85.87	Professional		$71.56	$71.56	$85.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $94.00 / $638.07	Professional		$85.00	$94.00	$638.07
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $165.01 / $534.52 / $554.04	Facility		$165.01	$534.52	$554.04
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $555.50 / $555.50 / $854.25	Professional		$555.50	$555.50	$854.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.71 / $326.29 / $326.29	Professional		$78.71	$326.29	$326.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $94.50 / $132.69 / $201.00	Facility		$94.50	$132.69	$201.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $47.79 / $47.79 / $139.49	Professional		$47.79	$47.79	$139.49
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $71.56 / $71.56 / $93.03	Professional		$71.56	$71.56	$93.03
United Facility/Professional Professional Modifier Low / Median / High Price $47.51 / $58.85 / $166.90	Professional		$47.51	$58.85	$166.90