Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $50.12 / $165.96	Facility		$14.13	$50.12	$165.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $18.20 / $87.10	Professional		$12.02	$18.20	$87.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $10.47 / $31.62	Professional		$8.71	$10.47	$31.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.94 / $39.81 / $87.10	Facility		$7.94	$39.81	$87.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $7.24 / $26.92	Professional		$6.92	$7.24	$26.92
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $74.13 / $165.96	Facility		$33.11	$74.13	$165.96
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $13.49 / $33.88	Professional		$10.00	$13.49	$33.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $22.91 / $57.54	Facility		$11.48	$22.91	$57.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $20.89 / $26.30	Professional		$9.77	$20.89	$26.30
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $17.38 / $27.54	Professional		$17.38	$17.38	$27.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $17.38 / $38.90	Professional		$13.80	$17.38	$38.90
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $81.28 / $81.28	Facility		$81.28	$81.28	$81.28
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $15.49 / $21.38	Professional		$14.45	$15.49	$21.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $17.38 / $17.38	Professional		$17.38	$17.38	$17.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $18.62 / $44.67	Facility		$12.59	$18.62	$44.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $17.38 / $85.11	Professional		$9.12	$17.38	$85.11
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $17.78 / $29.51	Professional		$13.80	$17.78	$29.51
United Facility/Professional Facility Modifier Low / Median / High Price $7.76 / $9.55 / $17.38	Facility		$7.76	$9.55	$17.38
United Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $9.55 / $30.90	Professional		$7.24	$9.55	$30.90