Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.06 / $28.50	Facility		$0.02	$0.06	$28.50
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 $7.39 / $7.39 / $21.81	Professional		$7.39	$7.39	$21.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.68 / $293.00 / $876.00	Facility		$5.68	$293.00	$876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.62 / $26.54 / $44.23	Professional		$5.62	$26.54	$44.23
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $15.35 / $21.93 / $33.14	Professional		$15.35	$21.93	$33.14
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 / $24.78 / $30.98	Professional		$16.00	$24.78	$30.98
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 $14.34 / $27.47 / $42.27	Professional		$14.34	$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 / $11.84 / $38.21	Professional		$10.16	$11.84	$38.21