Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.90 / $30.50 / $136.05	Facility		$5.90	$30.50	$136.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.42 / $21.00 / $45.36	Professional		$10.42	$21.00	$45.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $13.62 / $15.27 / $22.91	Professional		$13.62	$15.27	$22.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.89 / $61.39 / $293.00	Facility		$27.89	$61.39	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.18 / $14.89 / $30.58	Professional		$10.18	$14.89	$30.58
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $46.50 / $87.40 / $234.14	Facility		$46.50	$87.40	$234.14
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $17.82 / $25.45 / $56.50	Professional		$17.82	$25.45	$56.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.67 / $29.44 / $66.16	Facility		$12.67	$29.44	$66.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.23 / $30.98 / $38.72	Professional		$18.23	$30.98	$38.72
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $25.45 / $25.45 / $99.00	Professional		$25.45	$25.45	$99.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $20.36 / $25.45 / $55.99	Professional		$20.36	$25.45	$55.99
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $60.64 / $120.89 / $120.89	Facility		$60.64	$120.89	$120.89
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $30.72 / $45.12	Professional		$22.91	$30.72	$45.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.50 / $24.81 / $51.59	Facility		$10.50	$24.81	$51.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.23 / $25.45 / $50.90	Professional		$18.23	$25.45	$50.90
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $20.36 / $25.45 / $35.63	Professional		$20.36	$25.45	$35.63
United Facility/Professional Professional Modifier Low / Median / High Price $10.69 / $10.69 / $40.47	Professional		$10.69	$10.69	$40.47