Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.03 / $28.03 / $86.53	Facility		$9.03	$28.03	$86.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.57 / $10.24 / $10.92	Professional		$6.57	$10.24	$10.92
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.23 / $7.23 / $7.23	Professional		$7.23	$7.23	$7.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.20 / $29.06 / $293.00	Facility		$13.20	$29.06	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.82 / $4.96 / $12.09	Professional		$4.82	$4.96	$12.09
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $23.86 / $66.40 / $112.07	Facility		$23.86	$66.40	$112.07
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $8.44 / $12.05 / $38.84	Professional		$8.44	$12.05	$38.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.83 / $13.94 / $36.49	Facility		$7.83	$13.94	$36.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.64 / $14.87 / $18.59	Professional		$8.64	$14.87	$18.59
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $12.05 / $12.05 / $99.00	Professional		$12.05	$12.05	$99.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $9.64 / $12.05 / $27.31	Professional		$9.64	$12.05	$27.31
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $23.69 / $60.00 / $60.00	Facility		$23.69	$60.00	$60.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $7.95 / $12.05 / $28.58	Facility		$7.95	$12.05	$28.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $8.64 / $12.05 / $24.10	Professional		$8.64	$12.05	$24.10
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $9.64 / $12.05 / $16.87	Professional		$9.64	$12.05	$16.87
United Facility/Professional Professional Modifier Low / Median / High Price $5.05 / $5.05 / $17.67	Professional		$5.05	$5.05	$17.67