Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $14.13 / $14.79	Professional		$14.13	$14.13	$14.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.13 / $9.33 / $9.33	Facility		$8.13	$9.33	$9.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $26.92 / $51.29	Professional		$8.13	$26.92	$51.29
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $48.98 / $91.20	Professional		$34.67	$48.98	$91.20
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 $23.99 / $23.99 / $30.20	Professional		$23.99	$23.99	$30.20
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 $19.95 / $57.54 / $398.11	Professional		$19.95	$57.54	$398.11
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $85.11	Facility		$50.12	$50.12	$85.11
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 $28.18 / $50.12 / $6,165.95	Facility		$28.18	$50.12	$6,165.95
United Facility/Professional Facility Modifier Low / Median / High Price $1.55 / $1.55 / $1.55	Facility		$1.55	$1.55	$1.55
United Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $23.44 / $23.44	Professional		$20.42	$23.44	$23.44