Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $29.51 / $47.86	Facility		$16.60	$29.51	$47.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $14.13 / $25.70	Professional		$14.13	$14.13	$25.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $17.78 / $37.15	Facility		$15.49	$17.78	$37.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $14.79 / $30.90	Professional		$14.13	$14.79	$30.90
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $16.60 / $32.36	Facility		$14.13	$16.60	$32.36
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $16.60 / $31.62	Professional		$14.13	$16.60	$31.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $13.49 / $14.13	Facility		$13.49	$13.49	$14.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $14.13 / $15.49	Professional		$14.13	$14.13	$15.49
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $14.45 / $19.50	Professional		$14.45	$14.45	$19.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $15.85 / $25.70	Professional		$12.88	$15.85	$25.70
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $85.11 / $85.11	Facility		$79.43	$85.11	$85.11
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $61.66 / $61.66	Professional		$61.66	$61.66	$61.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $15.85 / $25.70	Facility		$14.13	$15.85	$25.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $14.13 / $17.38	Professional		$14.13	$14.13	$17.38
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $15.49 / $23.99	Professional		$11.22	$15.49	$23.99
United Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $14.13 / $14.13	Facility		$14.13	$14.13	$14.13
United Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $14.13 / $17.38	Professional		$14.13	$14.13	$17.38