Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.82 / $23,407.96 / $83,556.00	Facility		$25.82	$23,407.96	$83,556.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.89 / $25.82 / $123.33	Professional		$24.89	$25.82	$123.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.03 / $36.10 / $61.08	Facility		$30.03	$36.10	$61.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.11 / $31.73 / $87.68	Professional		$31.11	$31.73	$87.68
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $43.12 / $61.56 / $86.82	Facility		$43.12	$61.56	$86.82
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $26.62 / $38.00 / $88.93	Professional		$26.62	$38.00	$88.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.11 / $31.11 / $31.11	Facility		$31.11	$31.11	$31.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.11 / $31.11 / $38.15	Professional		$31.11	$31.11	$38.15
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $25.78 / $25.78 / $30.94	Professional		$25.78	$25.78	$30.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $105.00 / $393.93 / $801.00	Professional		$105.00	$393.93	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $100.00 / $100.00	Facility		$85.00	$100.00	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $136.12 / $136.12 / $136.12	Professional		$136.12	$136.12	$136.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.35 / $67.60 / $67.60	Professional		$28.35	$67.60	$67.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $26.44 / $31.11 / $53.15	Facility		$26.44	$31.11	$53.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $31.11 / $31.11 / $38.15	Professional		$31.11	$31.11	$38.15
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $25.78 / $25.78 / $33.51	Professional		$25.78	$25.78	$33.51
United Facility/Professional Professional Modifier Low / Median / High Price $31.11 / $31.11 / $57.17	Professional		$31.11	$31.11	$57.17