Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.95 / $17.95 / $17.95	Facility		$17.95	$17.95	$17.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.30 / $17.95 / $18.39	Professional		$17.30	$17.95	$18.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.92 / $21.34 / $36.11	Facility		$17.92	$21.34	$36.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.39 / $19.30 / $34.57	Professional		$18.39	$19.30	$34.57
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $77.09 / $79.00 / $91.00	Facility		$77.09	$79.00	$91.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $40.00 / $97.51	Professional		$40.00	$40.00	$97.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.39 / $18.39 / $18.39	Facility		$18.39	$18.39	$18.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.39 / $18.39 / $18.39	Professional		$18.39	$18.39	$18.39
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $14.14 / $14.14 / $21.21	Professional		$14.14	$14.14	$21.21
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 / $100.00 / $100.00	Facility		$80.00	$100.00	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $82.19 / $82.19 / $97.34	Professional		$82.19	$82.19	$97.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.55 / $60.00 / $85.00	Professional		$15.55	$60.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.52 / $18.39 / $39.24	Facility		$17.52	$18.39	$39.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.39 / $18.39 / $18.39	Professional		$18.39	$18.39	$18.39
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $14.14 / $14.14 / $18.38	Professional		$14.14	$14.14	$18.38
United Facility/Professional Professional Modifier Low / Median / High Price $70.08 / $70.08 / $70.08	Professional		$70.08	$70.08	$70.08