Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $25.12 / $34.67	Facility		$25.12	$25.12	$34.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $25.12 / $25.12	Professional		$25.12	$25.12	$25.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $25.12 / $64.57	Facility		$19.95	$25.12	$64.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $26.92 / $27.54	Professional		$26.92	$26.92	$27.54
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $39.81	Professional		$39.81	$39.81	$39.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $7.59 / $7.59	Professional		$7.59	$7.59	$7.59
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $7.59 / $8.91	Professional		$7.59	$7.59	$8.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $37.15 / $831.76	Professional		$26.92	$37.15	$831.76
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Professional		$95.50	$95.50	$95.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $25.12 / $41.69	Facility		$25.12	$25.12	$41.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $8.13 / $8.13	Professional		$8.13	$8.13	$8.13
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $9.77 / $12.88	Professional		$7.59	$9.77	$12.88
United Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $18.62 / $18.62	Facility		$18.62	$18.62	$18.62
United Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $37.15 / $45.71	Professional		$29.51	$37.15	$45.71