Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.42 / $52.42 / $52.42	Professional		$52.42	$52.42	$52.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $75.00 / $75.00	Professional		$75.00	$75.00	$75.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $438.75 / $812.34 / $1,068.33	Professional		$438.75	$812.34	$1,068.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.50 / $43.50 / $43.50	Professional		$43.50	$43.50	$43.50
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $56.77 / $65.00 / $68.12	Professional		$56.77	$65.00	$68.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $56.77 / $638.07 / $801.00	Professional		$56.77	$638.07	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $90.00 / $100.00 / $100.00	Facility		$90.00	$100.00	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $60.00	Professional		$60.00	$60.00	$60.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $52.42 / $52.42 / $52.42	Facility		$52.42	$52.42	$52.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $43.50 / $43.50 / $43.50	Professional		$43.50	$43.50	$43.50