Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.86 / $12.86 / $12.99	Facility		$12.86	$12.86	$12.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.86 / $12.86 / $14.92	Professional		$12.86	$12.86	$14.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.11 / $16.80 / $28.43	Facility		$14.11	$16.80	$28.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.86 / $15.03 / $36.34	Professional		$12.86	$15.03	$36.34
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $13.55 / $26.43 / $28.48	Facility		$13.55	$26.43	$28.48
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $56.00 / $80.00 / $175.17	Professional		$56.00	$80.00	$175.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.13 / $12.13 / $12.86	Facility		$12.13	$12.13	$12.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.86 / $12.86 / $15.13	Professional		$12.86	$12.86	$15.13
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $15.15 / $16.67 / $20.45	Professional		$15.15	$16.67	$20.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $16.07 / $28.29	Professional		$12.02	$16.07	$28.29
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $90.00 / $90.00	Facility		$75.00	$90.00	$90.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $66.88 / $66.88 / $66.88	Professional		$66.88	$66.88	$66.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.05 / $31.05 / $31.05	Professional		$31.05	$31.05	$31.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.86 / $14.15 / $21.06	Facility		$12.86	$14.15	$21.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.86 / $12.86 / $18.20	Professional		$12.86	$12.86	$18.20
United Facility/Professional Professional Modifier Low / Median / High Price $12.86 / $12.86 / $26.06	Professional		$12.86	$12.86	$26.06