Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $33.11 / $72.44	Facility		$28.84	$33.11	$72.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $14.13 / $89.13	Professional		$7.41	$14.13	$89.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.50 / $6.17 / $6.31	Facility		$5.50	$6.17	$6.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.37 / $14.79 / $28.18	Professional		$5.37	$14.79	$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 $5,623.41 / $5,623.41 / $6,165.95	Facility		$5,623.41	$5,623.41	$6,165.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $13.18 / $16.60	Professional		$13.18	$13.18	$16.60
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 $25.12 / $75.86 / $398.11	Professional		$25.12	$75.86	$398.11
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $114.82 / $114.82	Facility		$114.82	$114.82	$114.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
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 $18.62 / $33.11 / $6,165.95	Facility		$18.62	$33.11	$6,165.95
United Facility/Professional Facility Modifier Low / Median / High Price $4.17 / $4.17 / $4.17	Facility		$4.17	$4.17	$4.17
United Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $19.05 / $19.05	Professional		$13.49	$19.05	$19.05