Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.53 / $29.76 / $29.76	Facility		$25.53	$29.76	$29.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.34 / $18.87 / $29.76	Professional		$13.34	$18.87	$29.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.13 / $33.88 / $89.57	Facility		$28.13	$33.88	$89.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.98 / $39.11 / $39.11	Professional		$25.98	$39.11	$39.11
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $69.56 / $97.77 / $143.47	Professional		$69.56	$97.77	$143.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.60 / $27.60 / $33.24	Facility		$27.60	$27.60	$33.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.14 / $20.14 / $28.43	Professional		$20.14	$20.14	$28.43
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $21.84 / $21.84 / $26.21	Professional		$21.84	$21.84	$26.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $23.00 / $23.00 / $47.00	Professional		$23.00	$23.00	$47.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $146.78 / $146.78	Facility		$85.00	$146.78	$146.78
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $187.28 / $194.77 / $226.28	Professional		$187.28	$194.77	$226.28
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 $13.16 / $27.60 / $48.30	Facility		$13.16	$27.60	$48.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.14 / $20.14 / $27.60	Professional		$20.14	$20.14	$27.60
United Facility/Professional Professional Modifier Low / Median / High Price $15.98 / $17.32 / $37.15	Professional		$15.98	$17.32	$37.15