Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.88 / $16.88 / $26.60	Facility		$16.88	$16.88	$26.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.27 / $16.88 / $17.29	Professional		$16.27	$16.88	$17.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.55 / $18.39 / $24.41	Facility		$14.55	$18.39	$24.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.17 / $17.14 / $30.92	Professional		$16.17	$17.14	$30.92
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $17.29 / $17.29 / $26.04	Facility		$17.29	$17.29	$26.04
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $17.29 / $17.29 / $17.29	Professional		$17.29	$17.29	$17.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.29 / $17.29 / $17.29	Facility		$17.29	$17.29	$17.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.29 / $17.29 / $17.29	Professional		$17.29	$17.29	$17.29
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $16.95 / $16.95 / $25.43	Professional		$16.95	$16.95	$25.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $105.00 / $393.93 / $801.00	Professional		$105.00	$393.93	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $85.00 / $85.00	Facility		$80.00	$85.00	$85.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $77.29 / $77.29 / $91.53	Professional		$77.29	$77.29	$91.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.64 / $60.00 / $85.00	Professional		$18.64	$60.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.27 / $17.29 / $35.72	Facility		$16.27	$17.29	$35.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.29 / $17.29 / $21.19	Professional		$17.29	$17.29	$21.19
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $16.95 / $25.43 / $25.43	Professional		$16.95	$25.43	$25.43
United Facility/Professional Professional Modifier Low / Median / High Price $65.90 / $65.90 / $65.90	Professional		$65.90	$65.90	$65.90