Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.93 / $15.07 / $15.07	Facility		$12.93	$15.07	$15.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.19 / $12.92 / $15.07	Professional		$7.19	$12.92	$15.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.14 / $23.07 / $60.99	Facility		$19.14	$23.07	$60.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.58 / $26.62 / $26.62	Professional		$15.58	$26.62	$26.62
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $34.78 / $48.88 / $71.73	Professional		$34.78	$48.88	$71.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.62 / $28.65 / $28.65	Facility		$16.62	$28.65	$28.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.91 / $20.91 / $28.65	Professional		$20.91	$20.91	$28.65
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $50.40 / $50.40 / $60.48	Professional		$50.40	$50.40	$60.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $21.00 / $24.00 / $393.93	Professional		$21.00	$24.00	$393.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $90.00 / $90.00	Facility		$75.00	$90.00	$90.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $93.64 / $97.39 / $113.18	Professional		$93.64	$97.39	$113.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $60.00	Professional		$60.00	$60.00	$60.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $6.58 / $16.97 / $28.65	Facility		$6.58	$16.97	$28.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.91 / $20.91 / $28.65	Professional		$20.91	$20.91	$28.65
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $50.40 / $50.40 / $75.59	Professional		$50.40	$50.40	$75.59
United Facility/Professional Professional Modifier Low / Median / High Price $7.99 / $8.66 / $18.57	Professional		$7.99	$8.66	$18.57