Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $250.32 / $250.32 / $250.32	Facility		$250.32	$250.32	$250.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.00 / $9.00 / $26.31	Professional		$9.00	$9.00	$26.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $59.29 / $59.29 / $59.29	Facility		$59.29	$59.29	$59.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.25 / $65.70 / $79.48	Professional		$7.25	$65.70	$79.48
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $13.11 / $17.35 / $19.39	Professional		$13.11	$17.35	$19.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $106.00 / $106.00 / $106.00	Facility		$106.00	$106.00	$106.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $126.00 / $145.26 / $157.50	Professional		$126.00	$145.26	$157.50
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $15.21 / $15.21 / $18.25	Professional		$15.21	$15.21	$18.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $446.00 / $446.00 / $446.00	Professional		$446.00	$446.00	$446.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $120.00 / $26,642.91	Facility		$65.00	$120.00	$26,642.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $60.00	Professional		$60.00	$60.00	$60.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $75.00 / $75.00	Facility		$75.00	$75.00	$75.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $106.00 / $145.26 / $145.26	Professional		$106.00	$145.26	$145.26
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $18.71 / $18.71 / $28.07	Professional		$18.71	$18.71	$28.07