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 $7.41 / $20.42 / $21.88	Professional		$7.41	$20.42	$21.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.46 / $7.41 / $7.41	Facility		$6.46	$7.41	$7.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $26.30 / $61.66	Professional		$6.31	$26.30	$61.66
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $26.92 / $51.29	Professional		$19.05	$26.92	$51.29
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 / $37.15 / $46.77	Professional		$13.49	$37.15	$46.77
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 $19.05 / $51.29 / $398.11	Professional		$19.05	$51.29	$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
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $22.91 / $42.66	Professional		$20.42	$22.91	$42.66
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 / $33.11 / $64.57	Facility		$0.72	$33.11	$64.57
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 $10.23 / $12.02 / $52.48	Professional		$10.23	$12.02	$52.48