Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.54 / $38.54 / $38.93	Facility		$38.54	$38.54	$38.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.54 / $38.54 / $42.40	Professional		$38.54	$38.54	$42.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.87 / $57.00 / $96.44	Facility		$47.87	$57.00	$96.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.54 / $49.12 / $107.97	Professional		$38.54	$49.12	$107.97
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $31.84 / $62.09 / $100.00	Facility		$31.84	$62.09	$100.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $9.80 / $14.00 / $35.19	Professional		$9.80	$14.00	$35.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.36 / $36.36 / $38.54	Facility		$36.36	$36.36	$38.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.54 / $38.54 / $54.54	Professional		$38.54	$38.54	$54.54
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $18.85 / $44.84 / $60.54	Professional		$18.85	$44.84	$60.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $34.69 / $48.18 / $84.79	Professional		$34.69	$48.18	$84.79
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $197.96 / $197.96	Facility		$75.00	$197.96	$197.96
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $197.96 / $197.96 / $199.13	Professional		$197.96	$197.96	$199.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.73 / $91.92 / $91.92	Professional		$20.73	$91.92	$91.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $26.07 / $38.54 / $62.97	Facility		$26.07	$38.54	$62.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $38.54 / $38.54 / $58.63	Professional		$38.54	$38.54	$58.63
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $18.85 / $22.62 / $42.40	Professional		$18.85	$22.62	$42.40
United Facility/Professional Professional Modifier Low / Median / High Price $38.54 / $38.54 / $77.38	Professional		$38.54	$38.54	$77.38