Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $58.88 / $112.20	Facility		$19.95	$58.88	$112.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $14.13 / $79.43	Professional		$10.00	$14.13	$79.43
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $7.24 / $7.59	Professional		$7.24	$7.24	$7.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.51 / $28.18 / $89.13	Facility		$8.51	$28.18	$89.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $7.76 / $27.54	Professional		$7.41	$7.76	$27.54
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $77.62 / $177.83	Facility		$35.48	$77.62	$177.83
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $21.38 / $51.29	Professional		$15.49	$21.38	$51.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $19.95 / $54.95	Facility		$9.77	$19.95	$54.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $14.79 / $18.62	Professional		$9.77	$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 $9.55 / $12.02 / $27.54	Professional		$9.55	$12.02	$27.54
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Facility		$60.26	$60.26	$60.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $13.80 / $36.31	Facility		$9.77	$13.80	$36.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $12.02 / $60.26	Professional		$6.76	$12.02	$60.26
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $12.30 / $20.42	Professional		$9.55	$12.30	$20.42
United Facility/Professional Facility Modifier Low / Median / High Price $5.37 / $7.24 / $12.02	Facility		$5.37	$7.24	$12.02
United Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $7.76 / $29.51	Professional		$7.41	$7.76	$29.51