Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.81 / $23.81 / $23.81	Facility		$23.81	$23.81	$23.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.95 / $23.81 / $24.39	Professional		$22.95	$23.81	$24.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.77 / $28.30 / $47.88	Facility		$23.77	$28.30	$47.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.95 / $28.69 / $49.57	Professional		$22.95	$28.69	$49.57
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $11.20 / $16.00 / $39.54	Professional		$11.20	$16.00	$39.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.39 / $24.39 / $24.39	Facility		$24.39	$24.39	$24.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.39 / $24.39 / $24.39	Professional		$24.39	$24.39	$24.39
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $8.71 / $10.45	Professional		$8.71	$8.71	$10.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $29.00 / $55.00 / $638.07	Professional		$29.00	$55.00	$638.07
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $85.00 / $107.59	Facility		$80.00	$85.00	$107.59
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $109.02 / $109.02 / $129.11	Professional		$109.02	$109.02	$129.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.58 / $23.67 / $70.00	Professional		$9.58	$23.67	$70.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.91 / $16.91 / $28.69	Facility		$16.91	$16.91	$28.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $24.39 / $24.39 / $34.42	Professional		$24.39	$24.39	$34.42
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $8.71 / $11.32	Professional		$8.71	$8.71	$11.32
United Facility/Professional Professional Modifier Low / Median / High Price $28.69 / $28.69 / $54.36	Professional		$28.69	$28.69	$54.36