Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.22 / $24.74 / $24.74	Facility		$21.22	$24.74	$24.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.81 / $15.33 / $24.74	Professional		$10.81	$15.33	$24.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.51 / $47.59 / $125.82	Facility		$39.51	$47.59	$125.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.34 / $54.93 / $54.93	Professional		$21.34	$54.93	$54.93
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $56.99 / $80.09 / $117.54	Professional		$56.99	$80.09	$117.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.01 / $28.09 / $28.09	Facility		$27.01	$28.09	$28.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.51 / $20.51 / $28.09	Professional		$20.51	$20.51	$28.09
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $39.20 / $39.20 / $47.04	Professional		$39.20	$39.20	$47.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $39.20 / $638.07 / $801.00	Professional		$39.20	$638.07	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $119.23 / $119.23	Facility		$85.00	$119.23	$119.23
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $155.47 / $161.69 / $183.90	Professional		$155.47	$161.69	$183.90
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 $10.81 / $27.58 / $39.84	Facility		$10.81	$27.58	$39.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.51 / $20.51 / $28.09	Professional		$20.51	$20.51	$28.09
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $39.20 / $39.20 / $58.80	Professional		$39.20	$39.20	$58.80
United Facility/Professional Professional Modifier Low / Median / High Price $12.98 / $14.08 / $32.61	Professional		$12.98	$14.08	$32.61