Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.00 / $146.58 / $335.77	Professional		$33.00	$146.58	$335.77
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $324.89 / $324.89 / $324.89	Professional		$324.89	$324.89	$324.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.50 / $293.00 / $876.00	Facility		$50.50	$293.00	$876.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $3,115.19 / $3,115.19 / $3,115.19	Professional		$3,115.19	$3,115.19	$3,115.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $239.32 / $409.54 / $1,087.46	Facility		$239.32	$409.54	$1,087.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.00 / $343.75 / $1,250.00	Professional		$275.00	$343.75	$1,250.00
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 $393.93 / $393.93 / $1,619.00	Professional		$393.93	$393.93	$1,619.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,094.40 / $3,094.40 / $3,300.00	Facility		$3,094.40	$3,094.40	$3,300.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $20.00 / $1,969.69	Professional		$20.00	$20.00	$1,969.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $269.99 / $500.00 / $942.79	Facility		$269.99	$500.00	$942.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,841.00 / $2,400,000.00 / $2,400,000.00	Professional		$2,841.00	$2,400,000.00	$2,400,000.00