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 $4.07 / $4.07 / $4.07	Professional		$4.07	$4.07	$4.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.12 / $10.47 / $10.47	Facility		$9.12	$10.47	$10.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $26.92 / $66.07	Professional		$8.91	$26.92	$66.07
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $18.20 / $34.67	Professional		$12.88	$18.20	$34.67
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 $12.88 / $20.89 / $46.77	Professional		$12.88	$20.89	$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 $14.13 / $39.81 / $398.11	Professional		$14.13	$39.81	$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
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 / $60.26	Facility		$0.72	$33.11	$60.26
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 $10.00 / $10.96 / $51.29	Professional		$10.00	$10.96	$51.29