Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $16.98 / $16.98	Facility		$16.98	$16.98	$16.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $16.98 / $18.20	Professional		$16.98	$16.98	$18.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $23.44 / $58.88	Facility		$18.20	$23.44	$58.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $20.42 / $34.67	Professional		$18.20	$20.42	$34.67
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $77.62 / $77.62	Facility		$77.62	$77.62	$77.62
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $70.79	Professional		$39.81	$39.81	$70.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $18.20 / $18.20	Facility		$18.20	$18.20	$18.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $18.20 / $18.20	Professional		$18.20	$18.20	$18.20
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $14.13 / $16.98	Professional		$14.13	$14.13	$16.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $128.82 / $831.76	Professional		$14.13	$128.82	$831.76
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $97.72 / $97.72	Professional		$97.72	$97.72	$97.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $15.49 / $15.49	Professional		$15.49	$15.49	$15.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $19.50 / $38.90	Facility		$17.38	$19.50	$38.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $18.20 / $18.20	Professional		$18.20	$18.20	$18.20
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $16.98 / $23.99	Professional		$14.13	$16.98	$23.99
United Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $70.79 / $70.79	Professional		$21.88	$70.79	$70.79