Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.95 / $47.43 / $98.70	Facility		$12.95	$47.43	$98.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.41 / $12.39 / $17.27	Professional		$9.41	$12.39	$17.27
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.36 / $10.36 / $10.79	Professional		$10.36	$10.36	$10.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.92 / $41.66 / $293.00	Facility		$18.92	$41.66	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.91 / $7.11 / $17.34	Professional		$6.91	$7.11	$17.34
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $33.85 / $78.23 / $160.61	Facility		$33.85	$78.23	$160.61
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $12.09 / $17.27 / $49.10	Professional		$12.09	$17.27	$49.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.23 / $19.98 / $52.33	Facility		$11.23	$19.98	$52.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.38 / $21.06 / $26.33	Professional		$12.38	$21.06	$26.33
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $17.27 / $17.27 / $99.00	Professional		$17.27	$17.27	$99.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $13.82 / $17.27 / $37.99	Professional		$13.82	$17.27	$37.99
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $27.63 / $82.03 / $82.03	Facility		$27.63	$82.03	$82.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.40 / $17.27 / $40.94	Facility		$11.40	$17.27	$40.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.38 / $17.27 / $20.72	Professional		$12.38	$17.27	$20.72
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $13.82 / $17.27 / $24.18	Professional		$13.82	$17.27	$24.18
United Facility/Professional Professional Modifier Low / Median / High Price $7.25 / $7.25 / $29.13	Professional		$7.25	$7.25	$29.13