Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.00 / $51.00 / $139.78	Facility		$51.00	$51.00	$139.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.00 / $51.00 / $56.10	Professional		$51.00	$51.00	$56.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $52.39 / $62.38 / $105.55	Facility		$52.39	$62.38	$105.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.97 / $53.76 / $118.18	Professional		$34.97	$53.76	$118.18
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $23.41 / $45.65 / $100.00	Facility		$23.41	$45.65	$100.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $10.00 / $25.14	Professional		$7.00	$10.00	$25.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.12 / $48.12 / $51.00	Facility		$48.12	$48.12	$51.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.00 / $51.00 / $64.27	Professional		$51.00	$51.00	$64.27
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $11.87 / $52.40 / $70.73	Professional		$11.87	$52.40	$70.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $45.90 / $63.75 / $112.20	Professional		$45.90	$63.75	$112.20
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $231.33 / $231.33	Facility		$75.00	$231.33	$231.33
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $231.33 / $231.33 / $231.33	Professional		$231.33	$231.33	$231.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.05 / $107.42 / $107.42	Professional		$13.05	$107.42	$107.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $21.77 / $51.00 / $81.84	Facility		$21.77	$51.00	$81.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $51.00 / $51.00 / $65.50	Professional		$51.00	$51.00	$65.50
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $11.87 / $14.24 / $56.10	Professional		$11.87	$14.24	$56.10
United Facility/Professional Professional Modifier Low / Median / High Price $51.00 / $51.00 / $102.39	Professional		$51.00	$51.00	$102.39