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 $3.63 / $3.63 / $3.63	Professional		$3.63	$3.63	$3.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.24 / $3.72 / $3.72	Facility		$3.24	$3.72	$3.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.16 / $29.51 / $57.54	Professional		$3.16	$29.51	$57.54
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 $9.12 / $11.48 / $36.31	Professional		$9.12	$11.48	$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 $15.14 / $43.65 / $398.11	Professional		$15.14	$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 $13.18 / $21.88 / $42.66	Professional		$13.18	$21.88	$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 / $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