Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.28 / $57.45 / $160.00	Professional		$49.28	$57.45	$160.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $46.55 / $8,999.99	Professional		$40.00	$46.55	$8,999.99
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $49.56 / $49.56 / $49.56	Facility		$49.56	$49.56	$49.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.25 / $14.25 / $14.25	Professional		$14.25	$14.25	$14.25
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $27.52 / $27.52 / $41.28	Professional		$27.52	$27.52	$41.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $80.00 / $199.00	Professional		$70.00	$80.00	$199.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $90.00 / $100.00 / $100.00	Facility		$90.00	$100.00	$100.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $46.82 / $57.45 / $59.75	Facility		$46.82	$57.45	$59.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.25 / $14.25 / $27.00	Professional		$14.25	$14.25	$27.00
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $27.52 / $27.52 / $27.52	Professional		$27.52	$27.52	$27.52