Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $5.01 / $5.01	Professional		$5.01	$5.01	$5.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $57.54 / $58.88	Facility		$51.29	$57.54	$58.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $40.74 / $104.71	Facility		$13.49	$40.74	$104.71
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 $398.11 / $398.11 / $1,698.24	Professional		$398.11	$398.11	$1,698.24
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 $19.50 / $40.74 / $104.71	Facility		$19.50	$40.74	$104.71