Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
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 $4.47 / $7.41 / $21.88	Professional		$4.47	$7.41	$21.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.75 / $6.46 / $6.61	Facility		$5.75	$6.46	$6.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.62 / $21.38 / $52.48	Professional		$5.62	$21.38	$52.48
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 $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 / $20.89 / $36.31	Professional		$13.49	$20.89	$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 $12.02 / $34.67 / $398.11	Professional		$12.02	$34.67	$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 / $52.48	Facility		$0.72	$31.62	$52.48
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 $10.00 / $10.96 / $51.29	Professional		$10.00	$10.96	$51.29