Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.05 / $0.08	Facility		$0.02	$0.05	$0.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.04 / $0.06	Professional		$0.02	$0.04	$0.06
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.39 / $7.39 / $21.81	Professional		$7.39	$7.39	$21.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.40 / $293.00 / $876.00	Facility		$6.40	$293.00	$876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.34 / $26.54 / $44.23	Professional		$6.34	$26.54	$44.23
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $14.76 / $21.08 / $31.86	Professional		$14.76	$21.08	$31.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.47 / $0.73 / $2.06	Facility		$0.47	$0.73	$2.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.22 / $37.17 / $46.46	Professional		$14.22	$37.17	$46.46
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $99.00 / $99.00 / $99.00	Professional		$99.00	$99.00	$99.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $21.00 / $51.00 / $393.93	Professional		$21.00	$51.00	$393.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $112.04 / $135.76 / $135.76	Facility		$112.04	$135.76	$135.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $20.00 / $20.00	Professional		$20.00	$20.00	$20.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $0.74 / $32.52 / $57.02	Facility		$0.74	$32.52	$57.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.72 / $19.07 / $115.39	Professional		$12.72	$19.07	$115.39
United Facility/Professional Professional Modifier Low / Median / High Price $10.16 / $11.84 / $38.21	Professional		$10.16	$11.84	$38.21