Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.23 / $36.19 / $164.94	Facility		$17.23	$36.19	$164.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.94 / $16.95 / $22.97	Professional		$11.94	$16.95	$22.97
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $13.78 / $13.78 / $22.97	Professional		$13.78	$13.78	$22.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.17 / $55.40 / $293.00	Facility		$25.17	$55.40	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.19 / $9.46 / $23.06	Professional		$9.19	$9.46	$23.06
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $44.60 / $86.00 / $211.32	Facility		$44.60	$86.00	$211.32
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $16.07 / $22.97 / $50.99	Professional		$16.07	$22.97	$50.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.93 / $26.58 / $69.56	Facility		$14.93	$26.58	$69.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.46 / $28.08 / $35.10	Professional		$16.46	$28.08	$35.10
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $22.97 / $22.97 / $99.00	Professional		$22.97	$22.97	$99.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $18.38 / $22.97 / $51.00	Professional		$18.38	$22.97	$51.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $36.75 / $109.11 / $109.11	Facility		$36.75	$109.11	$109.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.58 / $22.97 / $54.84	Facility		$12.58	$22.97	$54.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.46 / $22.97 / $27.56	Professional		$16.46	$22.97	$27.56
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $18.38 / $22.97 / $32.15	Professional		$18.38	$22.97	$32.15
United Facility/Professional Professional Modifier Low / Median / High Price $9.65 / $9.65 / $36.52	Professional		$9.65	$9.65	$36.52