Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.31 / $39.31 / $39.71	Facility		$39.31	$39.31	$39.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.31 / $39.31 / $43.24	Professional		$39.31	$39.31	$43.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.49 / $48.21 / $81.58	Facility		$40.49	$48.21	$81.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.31 / $43.90 / $149.18	Professional		$39.31	$43.90	$149.18
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $40.00 / $40.00	Professional		$40.00	$40.00	$40.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.09 / $37.09 / $39.31	Facility		$37.09	$37.09	$39.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.31 / $39.31 / $48.21	Professional		$39.31	$39.31	$48.21
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $46.16 / $46.16 / $55.39	Professional		$46.16	$46.16	$55.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $36.75 / $49.14 / $86.48	Professional		$36.75	$49.14	$86.48
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $969.00 / $1,710.00 / $1,710.00	Facility		$969.00	$1,710.00	$1,710.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,990.00 / $3,990.00 / $3,990.00	Professional		$3,990.00	$3,990.00	$3,990.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.77 / $270.47 / $270.47	Professional		$50.77	$270.47	$270.47
Providence Facility/Professional Facility Modifier Low / Median / High Price $39.31 / $43.24 / $70.00	Facility		$39.31	$43.24	$70.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $39.31 / $39.31 / $208.28	Professional		$39.31	$39.31	$208.28
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $31.45 / $46.16 / $55.39	Professional		$31.45	$46.16	$55.39
United Facility/Professional Professional Modifier Low / Median / High Price $39.31 / $39.31 / $80.23	Professional		$39.31	$39.31	$80.23