Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.26 / $1.26 / $1.26	Facility		$1.26	$1.26	$1.26
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 $5.13 / $5.89 / $5.89	Facility		$5.13	$5.89	$5.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $27.54 / $56.23	Professional		$5.01	$27.54	$56.23
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 $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 / $20.42 / $36.31	Professional		$13.49	$20.42	$36.31
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 $15.85 / $43.65 / $398.11	Professional		$15.85	$43.65	$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 $10.23 / $21.38 / $42.66	Professional		$10.23	$21.38	$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 / $31.62 / $53.70	Facility		$0.72	$31.62	$53.70
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 $9.33 / $10.96 / $51.29	Professional		$9.33	$10.96	$51.29