Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $16.98 / $16.98	Facility		$16.98	$16.98	$16.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $16.98 / $16.98	Professional		$16.98	$16.98	$16.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $66.07	Professional		$30.20	$30.20	$66.07
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $131.83 / $208.93	Facility		$74.13	$131.83	$208.93
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $39.81	Professional		$39.81	$39.81	$39.81
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $52.48 / $63.10	Professional		$52.48	$52.48	$63.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $257.04 / $831.76	Professional		$57.54	$257.04	$831.76
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $204.17 / $218.78	Facility		$204.17	$204.17	$218.78
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $281.84 / $281.84	Professional		$281.84	$281.84	$281.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $16.98 / $66.07	Facility		$16.98	$16.98	$66.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $79.43 / $79.43	Professional		$60.26	$79.43	$79.43
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $63.10 / $89.13	Professional		$52.48	$63.10	$89.13
United Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $85.11 / $131.83	Facility		$83.18	$85.11	$131.83
United Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $44.67	Professional		$44.67	$44.67	$44.67