Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.00 / $20.00 / $20.50	Facility		$20.00	$20.00	$20.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.71 / $22.88 / $38.00	Professional		$18.71	$22.88	$38.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.11 / $26.64 / $123.81	Professional		$11.11	$26.64	$123.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.73 / $25.73 / $25.73	Facility		$25.73	$25.73	$25.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.97 / $18.97 / $18.97	Professional		$18.97	$18.97	$18.97
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $20.00 / $24.00	Professional		$20.00	$20.00	$24.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $105.00 / $638.07 / $801.00	Professional		$105.00	$638.07	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $44.34 / $122.12 / $126.59	Facility		$44.34	$122.12	$126.59
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $149.71 / $149.71 / $195.15	Professional		$149.71	$149.71	$195.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $85.00	Professional		$60.00	$60.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $21.50 / $31.98 / $49.40	Facility		$21.50	$31.98	$49.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.97 / $18.97 / $21.39	Professional		$18.97	$18.97	$21.39
United Facility/Professional Professional Modifier Low / Median / High Price $20.17 / $26.52 / $58.72	Professional		$20.17	$26.52	$58.72