Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.40 / $143.91 / $395.34	Facility		$3.40	$143.91	$395.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.40 / $3.40 / $52.80	Professional		$3.40	$3.40	$52.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.92 / $306.00 / $648.00	Professional		$19.92	$306.00	$648.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $32.18 / $35.75 / $89.87	Professional		$32.18	$35.75	$89.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.32 / $17.32 / $17.32	Facility		$17.32	$17.32	$17.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.32 / $17.32 / $17.32	Professional		$17.32	$17.32	$17.32
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $61.74 / $61.74 / $74.09	Professional		$61.74	$61.74	$74.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $88.00 / $134.00 / $338.00	Professional		$88.00	$134.00	$338.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $111.49 / $115.57	Facility		$80.00	$111.49	$115.57
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $136.72 / $136.72 / $178.20	Professional		$136.72	$136.72	$178.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $85.00 / $85.00	Professional		$85.00	$85.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $4.86 / $17.32 / $32.64	Facility		$4.86	$17.32	$32.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.32 / $17.32 / $17.32	Professional		$17.32	$17.32	$17.32
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $61.74 / $67.91 / $104.96	Professional		$61.74	$67.91	$104.96
United Facility/Professional Professional Modifier Low / Median / High Price $20.38 / $20.38 / $38.70	Professional		$20.38	$20.38	$38.70