Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $17.38 / $89.13	Professional		$7.24	$17.38	$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 / $22.39 / $70.79	Professional		$6.46	$22.39	$70.79
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 $28.18 / $28.18 / $35.48	Professional		$28.18	$28.18	$35.48
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 $14.13 / $41.69 / $398.11	Professional		$14.13	$41.69	$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 $23.99 / $23.99 / $23.99	Professional		$23.99	$23.99	$23.99
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 $1.55 / $1.55 / $1.55	Facility		$1.55	$1.55	$1.55
United Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $22.91 / $22.91	Professional		$16.22	$22.91	$22.91