Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.06 / $26.25	Facility		$0.02	$0.06	$26.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.44 / $15.44 / $15.44	Professional		$15.44	$15.44	$15.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $14.78 / $14.78 / $21.81	Professional		$14.78	$14.78	$21.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.84 / $293.00 / $876.00	Facility		$6.84	$293.00	$876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.77 / $26.54 / $44.23	Professional		$6.77	$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 $16.00 / $28.91 / $36.14	Professional		$16.00	$28.91	$36.14
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 $26.00 / $63.00 / $393.93	Professional		$26.00	$63.00	$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
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $16.50 / $27.47 / $42.27	Professional		$16.50	$27.47	$42.27
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 $16.00 / $22.94 / $115.39	Professional		$16.00	$22.94	$115.39
United Facility/Professional Professional Modifier Low / Median / High Price $10.16 / $13.28 / $42.84	Professional		$10.16	$13.28	$42.84