Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.94 / $13.91 / $13.91	Facility		$11.94	$13.91	$13.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.11 / $10.55 / $13.91	Professional		$6.11	$10.55	$13.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.91 / $23.98 / $63.40	Facility		$19.91	$23.98	$63.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.19 / $27.68 / $27.68	Professional		$17.19	$27.68	$27.68
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $31.83 / $44.73 / $65.65	Professional		$31.83	$44.73	$65.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.37 / $28.37 / $28.37	Facility		$15.37	$28.37	$28.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.71 / $20.71 / $28.37	Professional		$20.71	$20.71	$28.37
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $30.24 / $30.24 / $36.29	Professional		$30.24	$30.24	$36.29
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 $86.59 / $90.05 / $104.63	Professional		$86.59	$90.05	$104.63
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 $6.11 / $15.70 / $27.17	Facility		$6.11	$15.70	$27.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.71 / $20.71 / $28.37	Professional		$20.71	$20.71	$28.37
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $30.24 / $30.24 / $45.36	Professional		$30.24	$30.24	$45.36
United Facility/Professional Facility Modifier Low / Median / High Price $5.32 / $8.00 / $9.61	Facility		$5.32	$8.00	$9.61
United Facility/Professional Professional Modifier Low / Median / High Price $7.12 / $8.01 / $16.82	Professional		$7.12	$8.01	$16.82