Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.05 / $112.20 / $436.52	Facility		$0.05	$112.20	$436.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $19.05 / $21.88	Professional		$18.20	$19.05	$21.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.09 / $3.09 / $3.09	Professional		$3.09	$3.09	$3.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.57 / $5.13 / $5.25	Facility		$4.57	$5.13	$5.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.47 / $15.14 / $28.18	Professional		$4.47	$15.14	$28.18
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $14.79 / $28.18	Professional		$10.47	$14.79	$28.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.48 / $0.72 / $5,623.41	Facility		$0.48	$0.72	$5,623.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $19.50 / $36.31	Professional		$13.49	$19.50	$36.31
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $52.48 / $398.11	Professional		$23.99	$52.48	$398.11
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Facility		$151.36	$151.36	$151.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $19.95 / $19.95	Professional		$19.95	$19.95	$19.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $0.72 / $31.62 / $50.12	Facility		$0.72	$31.62	$50.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $25.70 / $50.12	Professional		$12.88	$25.70	$50.12
United Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $13.18 / $16.60	Facility		$10.72	$13.18	$16.60
United Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $10.96 / $51.29	Professional		$6.31	$10.96	$51.29