Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $30.90 / $75.86	Professional		$17.78	$30.90	$75.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $18.62 / $44.67	Professional		$15.14	$18.62	$44.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $15.49 / $15.49	Facility		$15.49	$15.49	$15.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $27.54 / $83.18	Professional		$15.85	$27.54	$83.18
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $37.15 / $75.86	Professional		$16.98	$37.15	$75.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Facility		$30.20	$30.20	$30.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $26.30 / $74.13	Professional		$15.85	$26.30	$74.13
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $7.94 / $7.94	Professional		$7.94	$7.94	$7.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $22.39 / $38.90	Professional		$16.22	$22.39	$38.90
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $144.54 / $144.54	Facility		$144.54	$144.54	$144.54
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $389.05 / $389.05	Professional		$20.89	$389.05	$389.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $16.60 / $27.54	Professional		$16.60	$16.60	$27.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $23.44 / $58.88	Facility		$14.79	$23.44	$58.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $28.18 / $72.44	Professional		$16.60	$28.18	$72.44
United Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $19.05 / $43.65	Professional		$13.49	$19.05	$43.65