Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.09 / $10.09 / $10.19	Facility		$10.09	$10.09	$10.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.09 / $10.09 / $11.10	Professional		$10.09	$10.09	$11.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.34 / $12.31 / $20.83	Facility		$10.34	$12.31	$20.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.09 / $11.21 / $35.22	Professional		$10.09	$11.21	$35.22
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $14.28 / $27.89 / $27.89	Facility		$14.28	$27.89	$27.89
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $10.28 / $10.28 / $25.71	Professional		$10.28	$10.28	$25.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.52 / $9.52 / $10.09	Facility		$9.52	$9.52	$10.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.09 / $10.09 / $12.38	Professional		$10.09	$10.09	$12.38
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $11.74 / $11.91 / $16.07	Professional		$11.74	$11.91	$16.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $9.43 / $12.61 / $22.87	Professional		$9.43	$12.61	$22.87
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 $75.59 / $75.59 / $75.59	Professional		$75.59	$75.59	$75.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.91 / $16.67 / $70.00	Professional		$12.91	$16.67	$70.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.09 / $11.10 / $17.27	Facility		$10.09	$11.10	$17.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.09 / $10.09 / $14.89	Professional		$10.09	$10.09	$14.89
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $8.07 / $11.74 / $14.09	Professional		$8.07	$11.74	$14.09
United Facility/Professional Professional Modifier Low / Median / High Price $10.09 / $10.09 / $20.60	Professional		$10.09	$10.09	$20.60