Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.00 / $12.00 / $12.30	Facility		$12.00	$12.00	$12.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.10 / $14.10 / $76.00	Professional		$11.10	$14.10	$76.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.77 / $16.22 / $75.37	Professional		$6.77	$16.22	$75.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.66 / $15.66 / $15.66	Facility		$15.66	$15.66	$15.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.55 / $11.55 / $11.55	Professional		$11.55	$11.55	$11.55
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $12.00 / $14.40	Professional		$12.00	$12.00	$14.40
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 $26.99 / $75.00 / $77.05	Facility		$26.99	$75.00	$77.05
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $91.15 / $91.15 / $118.80	Professional		$91.15	$91.15	$118.80
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 $13.11 / $19.46 / $79.04	Facility		$13.11	$19.46	$79.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.55 / $11.55 / $11.55	Professional		$11.55	$11.55	$11.55
United Facility/Professional Professional Modifier Low / Median / High Price $11.64 / $15.50 / $42.11	Professional		$11.64	$15.50	$42.11