Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.00 / $24.00 / $24.00	Facility		$24.00	$24.00	$24.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.57 / $24.00 / $24.00	Professional		$19.57	$24.00	$24.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $135.94 / $163.74 / $432.90	Facility		$135.94	$163.74	$432.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.14 / $189.00 / $189.00	Professional		$35.14	$189.00	$189.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $137.19 / $192.81 / $282.95	Professional		$137.19	$192.81	$282.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.72 / $23.72 / $23.72	Facility		$23.72	$23.72	$23.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.32 / $17.32 / $23.72	Professional		$17.32	$17.32	$23.72
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $21.28 / $21.28 / $25.54	Professional		$21.28	$21.28	$25.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $21.28 / $638.07 / $801.00	Professional		$21.28	$638.07	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $90.00 / $90.00 / $100.00	Facility		$90.00	$90.00	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $65.97 / $65.97 / $65.97	Professional		$65.97	$65.97	$65.97
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 $19.14 / $23.72 / $24.91	Facility		$19.14	$23.72	$24.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.32 / $17.32 / $23.72	Professional		$17.32	$17.32	$23.72
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $21.28 / $21.28 / $31.92	Professional		$21.28	$21.28	$31.92
United Facility/Professional Professional Modifier Low / Median / High Price $52.94 / $52.94 / $52.94	Professional		$52.94	$52.94	$52.94