Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.69 / $288.00 / $2,750.00	Facility		$2.69	$288.00	$2,750.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.59 / $2.69 / $2.75	Professional		$2.59	$2.69	$2.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.35 / $16.14 / $32.60	Facility		$11.35	$16.14	$32.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.28 / $14.28 / $26.35	Professional		$0.28	$14.28	$26.35
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $5.12 / $16.01 / $20.25	Facility		$5.12	$16.01	$20.25
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $40.00 / $100.00	Professional		$40.00	$40.00	$100.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.75 / $2.75 / $2.75	Facility		$2.75	$2.75	$2.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.75 / $2.75 / $2.75	Professional		$2.75	$2.75	$2.75
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $18.64 / $18.64 / $22.37	Professional		$18.64	$18.64	$22.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $16.00 / $32.00	Professional		$11.00	$16.00	$32.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $100.00 / $100.00	Facility		$85.00	$100.00	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,178.56 / $2,178.56 / $2,178.56	Professional		$2,178.56	$2,178.56	$2,178.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $60.00 / $70.00	Professional		$30.00	$60.00	$70.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $0.30 / $3.16 / $3.30	Facility		$0.30	$3.16	$3.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $2.75 / $2.75 / $5.86	Professional		$2.75	$2.75	$5.86
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $14.18 / $14.18 / $21.27	Professional		$14.18	$14.18	$21.27
United Facility/Professional Professional Modifier Low / Median / High Price $2.70 / $2.70 / $4.94	Professional		$2.70	$2.70	$4.94