Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.00 / $9.00 / $22.51	Professional		$9.00	$9.00	$22.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $61.58 / $61.58 / $61.58	Facility		$61.58	$61.58	$61.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.75 / $68.23 / $82.55	Professional		$4.75	$68.23	$82.55
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 $82.00 / $82.00 / $82.00	Facility		$82.00	$82.00	$82.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $20.89 / $192.19	Professional		$20.89	$20.89	$192.19
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $11.03 / $11.03 / $13.24	Professional		$11.03	$11.03	$13.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $124.00 / $124.00 / $124.00	Professional		$124.00	$124.00	$124.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $120.00 / $120.00	Facility		$65.00	$120.00	$120.00
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 $20.89 / $20.89 / $98.00	Professional		$20.89	$20.89	$98.00
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $18.71 / $18.71 / $28.07	Professional		$18.71	$18.71	$28.07