Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.94 / $26.94 / $27.21	Facility		$26.94	$26.94	$27.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.94 / $27.21 / $29.93	Professional		$26.94	$27.21	$29.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.43 / $30.27 / $51.22	Facility		$25.43	$30.27	$51.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.95 / $26.94 / $57.34	Professional		$23.95	$26.94	$57.34
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $16.51 / $32.20 / $53.47	Facility		$16.51	$32.20	$53.47
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 $25.42 / $25.42 / $26.94	Facility		$25.42	$25.42	$26.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.94 / $26.94 / $32.79	Professional		$26.94	$26.94	$32.79
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $11.87 / $30.28 / $40.86	Professional		$11.87	$30.28	$40.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $24.25 / $33.68 / $61.96	Professional		$24.25	$33.68	$61.96
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $133.71 / $133.71	Facility		$75.00	$133.71	$133.71
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $133.71 / $133.71 / $147.24	Professional		$133.71	$133.71	$147.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.05 / $62.07 / $62.07	Professional		$13.05	$62.07	$62.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $21.77 / $26.94 / $45.08	Facility		$21.77	$26.94	$45.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $26.94 / $26.94 / $41.62	Professional		$26.94	$26.94	$41.62
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $11.87 / $14.24 / $29.64	Professional		$11.87	$14.24	$29.64
United Facility/Professional Professional Modifier Low / Median / High Price $26.94 / $26.94 / $57.38	Professional		$26.94	$26.94	$57.38