Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.00 / $84.75 / $480.00	Facility		$70.00	$84.75	$480.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $23.15 / $84.75	Professional		$5.00	$23.15	$84.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $121.00 / $263.00 / $376.00	Facility		$121.00	$263.00	$376.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.70 / $22.00 / $22.00	Professional		$18.70	$22.00	$22.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $5.60 / $8.00 / $12.09	Professional		$5.60	$8.00	$12.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $105.00 / $121.00 / $194.00	Facility		$105.00	$121.00	$194.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.59 / $50.59 / $50.59	Professional		$50.59	$50.59	$50.59
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $90.00 / $90.00 / $160.00	Professional		$90.00	$90.00	$160.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $48.00 / $139.00 / $638.07	Professional		$48.00	$139.00	$638.07
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $100.00 / $100.00	Facility		$65.00	$100.00	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $24.71 / $32.34	Professional		$13.18	$24.71	$32.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $5.00 / $26.62 / $121.19	Facility		$5.00	$26.62	$121.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $50.59 / $50.59 / $50.59	Professional		$50.59	$50.59	$50.59