Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.08 / $32.36 / $83.18	Facility		$7.08	$32.36	$83.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $10.72 / $44.67	Professional		$7.94	$10.72	$44.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $7.24 / $7.59	Professional		$6.03	$7.24	$7.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.62 / $28.18 / $60.26	Facility		$5.62	$28.18	$60.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $5.13 / $18.62	Professional		$4.79	$5.13	$18.62
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $57.54 / $117.49	Facility		$23.44	$57.54	$117.49
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $14.13 / $33.88	Professional		$10.96	$14.13	$33.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.94 / $15.85 / $40.74	Facility		$7.94	$15.85	$40.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $14.79 / $18.62	Professional		$6.76	$14.79	$18.62
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.02 / $19.50	Professional		$12.02	$12.02	$19.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $12.02 / $26.92	Professional		$9.77	$12.02	$26.92
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Facility		$60.26	$60.26	$60.26
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $10.96 / $15.14	Professional		$10.23	$10.96	$15.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $13.18 / $30.90	Facility		$8.91	$13.18	$30.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $12.02 / $60.26	Professional		$6.46	$12.02	$60.26
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $12.30 / $20.42	Professional		$9.77	$12.30	$20.42
United Facility/Professional Facility Modifier Low / Median / High Price $5.50 / $7.24 / $12.02	Facility		$5.50	$7.24	$12.02
United Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $7.24 / $21.88	Professional		$5.13	$7.24	$21.88