Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $33.88 / $131.83	Facility		$33.11	$33.88	$131.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $33.11 / $131.83	Professional		$33.11	$33.11	$131.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $42.66 / $107.15	Facility		$33.88	$42.66	$107.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $37.15 / $100.00	Professional		$33.88	$37.15	$100.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $77.62 / $77.62	Facility		$77.62	$77.62	$77.62
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $35.48 / $64.57	Professional		$26.92	$35.48	$64.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $32.36 / $33.88	Facility		$32.36	$32.36	$33.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $33.88	Professional		$33.88	$33.88	$33.88
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $199.53 / $239.88	Professional		$177.83	$199.53	$239.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $173.78 / $269.15	Professional		$131.83	$173.78	$269.15
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $144.54 / $144.54	Professional		$144.54	$144.54	$144.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $33.88	Professional		$33.88	$33.88	$33.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $42.66 / $218.78	Facility		$33.88	$42.66	$218.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $125.89	Professional		$125.89	$125.89	$125.89
United Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $125.89 / $131.83	Professional		$33.88	$125.89	$131.83