Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.43 / $10.69 / $97.61	Facility		$10.43	$10.69	$97.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.43 / $10.68 / $122.40	Professional		$10.43	$10.68	$122.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.16 / $11.21 / $12.84	Facility		$9.16	$11.21	$12.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.68 / $11.66 / $25.31	Professional		$10.68	$11.66	$25.31
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $6.94 / $9.92 / $24.60	Professional		$6.94	$9.92	$24.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $85.00 / $85.00	Facility		$85.00	$85.00	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.87 / $7.87 / $9.52	Professional		$7.87	$7.87	$9.52
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $7.18 / $7.18 / $8.61	Professional		$7.18	$7.18	$8.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $24.00 / $100.00	Professional		$15.00	$24.00	$100.00
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 $429.78 / $429.78 / $429.78	Professional		$429.78	$429.78	$429.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.36 / $25.33 / $60.00	Professional		$12.36	$25.33	$60.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.43 / $12.57 / $15.90	Facility		$10.43	$12.57	$15.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $7.87 / $7.87 / $25.70	Professional		$7.87	$7.87	$25.70
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $7.18 / $7.18 / $10.77	Professional		$7.18	$7.18	$10.77
United Facility/Professional Professional Modifier Low / Median / High Price $12.57 / $12.57 / $22.65	Professional		$12.57	$12.57	$22.65