Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.57 / $45.00 / $94.50	Facility		$9.57	$45.00	$94.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.65 / $19.80 / $29.73	Professional		$8.65	$19.80	$29.73
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $7.23 / $7.53	Professional		$6.03	$7.23	$7.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.20 / $28.42 / $293.00	Facility		$13.20	$28.42	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.61 / $4.74 / $11.53	Professional		$4.61	$4.74	$11.53
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $22.60 / $64.34 / $108.50	Facility		$22.60	$64.34	$108.50
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $8.07 / $11.53 / $37.17	Professional		$8.07	$11.53	$37.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.71 / $13.94 / $34.90	Facility		$7.71	$13.94	$34.90
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 $11.53 / $12.05 / $19.28	Professional		$11.53	$12.05	$19.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $9.64 / $12.05 / $26.51	Professional		$9.64	$12.05	$26.51
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $20.93 / $60.00 / $60.00	Facility		$20.93	$60.00	$60.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10.85 / $14.39 / $21.13	Professional		$10.85	$14.39	$21.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $7.83 / $12.05 / $28.58	Facility		$7.83	$12.05	$28.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $8.64 / $11.53 / $14.46	Professional		$8.64	$11.53	$14.46
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $9.64 / $11.76 / $16.14	Professional		$9.64	$11.76	$16.14
United Facility/Professional Professional Modifier Low / Median / High Price $4.84 / $5.05 / $16.91	Professional		$4.84	$5.05	$16.91