Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.00 / $40.00 / $41.00	Facility		$40.00	$40.00	$41.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.70 / $47.00 / $115.00	Professional		$37.70	$47.00	$115.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.38 / $53.68 / $249.40	Professional		$22.38	$53.68	$249.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.82 / $51.82 / $51.82	Facility		$51.82	$51.82	$51.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.22 / $38.22 / $38.22	Professional		$38.22	$38.22	$38.22
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $40.00 / $48.00	Professional		$40.00	$40.00	$48.00
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 $89.32 / $246.01 / $254.98	Facility		$89.32	$246.01	$254.98
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $301.64 / $301.64 / $393.23	Professional		$301.64	$301.64	$393.23
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 $43.70 / $64.98 / $121.90	Facility		$43.70	$64.98	$121.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $38.22 / $38.22 / $42.94	Professional		$38.22	$38.22	$42.94
United Facility/Professional Professional Modifier Low / Median / High Price $39.10 / $52.24 / $118.45	Professional		$39.10	$52.24	$118.45