Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.49 / $2.49 / $2.50	Facility		$2.49	$2.49	$2.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.49 / $2.49 / $2.88	Professional		$2.49	$2.49	$2.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.42 / $2.88 / $4.87	Facility		$2.42	$2.88	$4.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.48 / $2.58 / $9.81	Professional		$2.48	$2.58	$9.81
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $14.65 / $20.91 / $28.57	Facility		$14.65	$20.91	$28.57
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $6.30 / $9.00 / $22.50	Professional		$6.30	$9.00	$22.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.35 / $2.35 / $2.49	Facility		$2.35	$2.35	$2.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.49 / $2.49 / $3.05	Professional		$2.49	$2.49	$3.05
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $9.11 / $10.22 / $13.79	Professional		$9.11	$10.22	$13.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2.33 / $3.11 / $5.73	Professional		$2.33	$3.11	$5.73
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $85.00 / $85.00	Facility		$75.00	$85.00	$85.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,398.28 / $5,398.28 / $5,398.28	Professional		$5,398.28	$5,398.28	$5,398.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.02 / $14.30 / $70.00	Professional		$10.02	$14.30	$70.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $2.49 / $2.89 / $12.78	Facility		$2.49	$2.89	$12.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $2.49 / $2.49 / $12.78	Professional		$2.49	$2.49	$12.78
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1.99 / $9.11 / $10.93	Professional		$1.99	$9.11	$10.93
United Facility/Professional Professional Modifier Low / Median / High Price $2.49 / $2.49 / $5.45	Professional		$2.49	$2.49	$5.45