Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.00 / $53.00 / $53.53	Facility		$53.00	$53.00	$53.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.00 / $53.00 / $58.30	Professional		$53.00	$53.00	$58.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.16 / $61.50 / $104.05	Facility		$51.16	$61.50	$104.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.00 / $57.50 / $159.25	Professional		$53.00	$57.50	$159.25
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 $39.75 / $100.00 / $244.08	Professional		$39.75	$100.00	$244.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $50.00 / $53.00	Facility		$50.00	$50.00	$53.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.00 / $53.00 / $65.00	Professional		$53.00	$53.00	$65.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $76.97 / $84.67 / $103.91	Professional		$76.97	$84.67	$103.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $49.56 / $66.25 / $121.90	Professional		$49.56	$66.25	$121.90
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $969.00 / $1,140.00 / $1,140.00	Facility		$969.00	$1,140.00	$1,140.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,288.20 / $1,288.20 / $1,288.20	Professional		$1,288.20	$1,288.20	$1,288.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $84.66 / $103.90 / $157.78	Professional		$84.66	$103.90	$157.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $53.00 / $58.30 / $95.15	Facility		$53.00	$58.30	$95.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $53.00 / $53.00 / $173.44	Professional		$53.00	$53.00	$173.44
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $42.40 / $76.97 / $92.36	Professional		$42.40	$76.97	$92.36
United Facility/Professional Professional Modifier Low / Median / High Price $53.00 / $53.00 / $109.23	Professional		$53.00	$53.00	$109.23