Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.69 / $253.08 / $748.44	Facility		$38.69	$253.08	$748.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.71 / $29.64 / $108.80	Professional		$17.71	$29.64	$108.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $26.06 / $26.06 / $46.86	Professional		$26.06	$26.06	$46.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.26 / $570.00 / $1,459.21	Facility		$19.26	$570.00	$1,459.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.29 / $28.30 / $59.81	Professional		$18.29	$28.30	$59.81
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $52.60 / $97.40 / $343.58	Facility		$52.60	$97.40	$343.58
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $29.48 / $39.36 / $61.85	Professional		$29.48	$39.36	$61.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.15 / $4.54 / $127.80	Facility		$1.15	$4.54	$127.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.23 / $36.76 / $45.95	Professional		$16.23	$36.76	$45.95
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $16.52 / $16.52 / $99.00	Professional		$16.52	$16.52	$99.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $18.17 / $54.00 / $393.93	Professional		$18.17	$54.00	$393.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $105.55 / $172.43 / $186.30	Facility		$105.55	$172.43	$186.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.55 / $5.55 / $20.00	Professional		$5.55	$5.55	$20.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1.64 / $23.93 / $82.66	Facility		$1.64	$23.93	$82.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.57 / $27.43 / $146.58	Professional		$15.57	$27.43	$146.58
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $16.85 / $27.25 / $38.15	Professional		$16.85	$27.25	$38.15
United Facility/Professional Professional Modifier Low / Median / High Price $12.08 / $18.95 / $62.70	Professional		$12.08	$18.95	$62.70