Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.16 / $22.89 / $63.49	Facility		$10.16	$22.89	$63.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.78 / $10.16 / $12.24	Professional		$9.78	$10.16	$12.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.36 / $11.43 / $14.69	Facility		$9.36	$11.43	$14.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.16 / $10.40 / $19.96	Professional		$4.16	$10.40	$19.96
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $10.40 / $10.40 / $16.76	Facility		$10.40	$10.40	$16.76
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $10.16 / $10.46 / $26.90	Professional		$10.16	$10.46	$26.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.40 / $10.40 / $10.40	Facility		$10.40	$10.40	$10.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.40 / $10.40 / $10.40	Professional		$10.40	$10.40	$10.40
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $14.66 / $14.66 / $19.79	Professional		$14.66	$14.66	$19.79
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 $75.00 / $100.00 / $100.00	Facility		$75.00	$100.00	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $673.81 / $673.81 / $673.81	Professional		$673.81	$673.81	$673.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.40 / $9.02 / $60.00	Professional		$4.40	$9.02	$60.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $4.71 / $10.16 / $12.24	Facility		$4.71	$10.16	$12.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.40 / $10.40 / $12.75	Professional		$10.40	$10.40	$12.75
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $10.19 / $13.26 / $15.30	Professional		$10.19	$13.26	$15.30
United Facility/Professional Professional Modifier Low / Median / High Price $10.19 / $10.19 / $18.36	Professional		$10.19	$10.19	$18.36