Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.19 / $31.69 / $31.69	Facility		$27.19	$31.69	$31.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.18 / $20.04 / $31.69	Professional		$14.18	$20.04	$31.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.16 / $20.66 / $54.64	Facility		$17.16	$20.66	$54.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.85 / $23.85 / $30.00	Professional		$23.85	$23.85	$30.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $74.02 / $104.03 / $152.66	Professional		$74.02	$104.03	$152.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.58 / $28.58 / $35.31	Facility		$28.58	$28.58	$35.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.86 / $20.86 / $29.44	Professional		$20.86	$20.86	$29.44
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $23.52 / $23.52 / $28.22	Professional		$23.52	$23.52	$28.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $23.00 / $23.00 / $45.00	Professional		$23.00	$23.00	$45.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $155.94 / $155.94	Facility		$85.00	$155.94	$155.94
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $199.64 / $207.63 / $240.45	Professional		$199.64	$207.63	$240.45
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 $14.10 / $28.81 / $51.39	Facility		$14.10	$28.81	$51.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.86 / $20.86 / $28.58	Professional		$20.86	$20.86	$28.58
United Facility/Professional Professional Modifier Low / Median / High Price $16.97 / $18.41 / $43.78	Professional		$16.97	$18.41	$43.78