Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.90 / $4,941.00 / $16,125.00	Facility		$36.90	$4,941.00	$16,125.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.57 / $36.90 / $62.96	Professional		$27.57	$36.90	$62.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $18.50 / $18.50 / $20.72	Professional		$18.50	$18.50	$20.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,546.00 / $4,465.00 / $8,976.00	Facility		$1,546.00	$4,465.00	$8,976.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.50 / $48.48 / $101.32	Professional		$37.50	$48.48	$101.32
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.09 / $100.00 / $1,804.92	Facility		$66.09	$100.00	$1,804.92
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $27.73 / $39.61 / $88.02	Professional		$27.73	$39.61	$88.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $705.31 / $705.31 / $1,050.00	Facility		$705.31	$705.31	$1,050.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.00 / $46.38 / $87.58	Professional		$33.00	$46.38	$87.58
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $33.13 / $45.62 / $54.98	Professional		$33.13	$45.62	$54.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $31.03 / $43.67 / $77.01	Professional		$31.03	$43.67	$77.01
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $222.18 / $226.32	Facility		$55.00	$222.18	$226.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $236.80 / $277.36 / $315.23	Professional		$236.80	$277.36	$315.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.14 / $32.14 / $53.57	Professional		$32.14	$32.14	$53.57
Providence Facility/Professional Facility Modifier Low / Median / High Price $35.65 / $46.08 / $62.57	Facility		$35.65	$46.08	$62.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $34.15 / $49.46 / $93.77	Professional		$34.15	$49.46	$93.77
United Facility/Professional Facility Modifier Low / Median / High Price $3,523.00 / $7,384.00 / $15,471.00	Facility		$3,523.00	$7,384.00	$15,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $31.08 / $41.01 / $97.23	Professional		$31.08	$41.01	$97.23