Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.49 / $12.49 / $12.62	Facility		$12.49	$12.49	$12.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.49 / $12.49 / $13.74	Professional		$12.49	$12.49	$13.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.07 / $14.37 / $24.31	Facility		$12.07	$14.37	$24.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.38 / $12.49 / $28.03	Professional		$12.38	$12.49	$28.03
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $10.21 / $19.91 / $28.82	Facility		$10.21	$19.91	$28.82
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $2.80 / $4.00 / $10.06	Professional		$2.80	$4.00	$10.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.78 / $11.78 / $12.49	Facility		$11.78	$11.78	$12.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.49 / $12.49 / $15.00	Professional		$12.49	$12.49	$15.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $4.34 / $12.48 / $16.85	Professional		$4.34	$12.48	$16.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $11.24 / $15.61 / $27.48	Professional		$11.24	$15.61	$27.48
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $100.00 / $100.00	Facility		$75.00	$100.00	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,184.50 / $6,184.50 / $6,184.50	Professional		$6,184.50	$6,184.50	$6,184.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.78 / $60.00 / $60.00	Professional		$4.78	$60.00	$60.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.23 / $12.49 / $20.20	Facility		$10.23	$12.49	$20.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.49 / $12.49 / $15.75	Professional		$12.49	$12.49	$15.75
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $4.34 / $5.22 / $13.74	Professional		$4.34	$5.22	$13.74
United Facility/Professional Professional Modifier Low / Median / High Price $12.49 / $12.49 / $24.62	Professional		$12.49	$12.49	$24.62