Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.06 / $16.79	Facility		$0.02	$0.06	$16.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.73 / $13.33 / $53.99	Professional		$11.73	$13.33	$53.99
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.80 / $4.80 / $4.80	Professional		$4.80	$4.80	$4.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.58 / $210.51 / $876.00	Facility		$7.58	$210.51	$876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.20 / $11.92 / $37.68	Professional		$7.20	$11.92	$37.68
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $39.79 / $85.50 / $183.40	Facility		$39.79	$85.50	$183.40
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $9.11 / $13.01 / $22.85	Professional		$9.11	$13.01	$22.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.03 / $4.03 / $107.19	Facility		$1.03	$4.03	$107.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.80 / $23.13 / $30.20	Professional		$10.80	$23.13	$30.20
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 $15.00 / $42.00 / $393.93	Professional		$15.00	$42.00	$393.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $90.00 / $201.78 / $201.78	Facility		$90.00	$201.78	$201.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.62 / $11.62 / $20.00	Professional		$11.62	$11.62	$20.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1.28 / $13.33 / $75.97	Facility		$1.28	$13.33	$75.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $9.83 / $19.00 / $42.48	Professional		$9.83	$19.00	$42.48
United Facility/Professional Professional Modifier Low / Median / High Price $8.63 / $18.19 / $53.56	Professional		$8.63	$18.19	$53.56