Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $42.66 / $42.66	Facility		$24.55	$42.66	$42.66
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 $17.38 / $20.42 / $21.88	Professional		$17.38	$20.42	$21.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.32 / $9.55 / $9.55	Facility		$8.32	$9.55	$9.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $40.74 / $85.11	Professional		$8.13	$40.74	$85.11
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $41.69 / $79.43	Professional		$29.51	$41.69	$79.43
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 / $34.67 / $43.65	Professional		$13.49	$34.67	$43.65
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 $20.89 / $63.10 / $398.11	Professional		$20.89	$63.10	$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
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $22.91 / $42.66	Professional		$20.42	$22.91	$42.66
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 / $33.11 / $70.79	Facility		$0.72	$33.11	$70.79
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 $4.17 / $13.18 / $16.60	Facility		$4.17	$13.18	$16.60
United Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.96 / $51.29	Professional		$10.00	$10.96	$51.29