Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.26 / $1.26 / $1.26	Facility		$1.26	$1.26	$1.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $14.13 / $89.13	Professional		$6.03	$14.13	$89.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.61 / $7.59 / $7.59	Facility		$6.61	$7.59	$7.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $26.92 / $51.29	Professional		$6.46	$26.92	$51.29
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $28.18 / $52.48	Professional		$19.95	$28.18	$52.48
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 $16.98 / $16.98 / $21.38	Professional		$16.98	$16.98	$21.38
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 $15.85 / $46.77 / $398.11	Professional		$15.85	$46.77	$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
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $11.48 / $11.48	Professional		$11.48	$11.48	$11.48
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 $22.91 / $39.81 / $6,165.95	Facility		$22.91	$39.81	$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 $16.22 / $33.88 / $33.88	Professional		$16.22	$33.88	$33.88