Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.61 / $26.83 / $63.00	Professional		$16.61	$26.83	$63.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $15.86 / $17.87 / $43.60	Professional		$15.86	$17.87	$43.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.53 / $15.53 / $15.53	Facility		$15.53	$15.53	$15.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.76 / $21.81 / $59.92	Professional		$13.76	$21.81	$59.92
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $95.10 / $207.28 / $563.87	Facility		$95.10	$207.28	$563.87
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $15.28 / $28.53 / $54.98	Professional		$15.28	$28.53	$54.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.96 / $26.53 / $75.80	Professional		$16.96	$26.53	$75.80
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $8.01 / $8.01 / $8.01	Professional		$8.01	$8.01	$8.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $18.00 / $24.49 / $44.69	Professional		$18.00	$24.49	$44.69
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $84.42 / $90.49 / $90.49	Facility		$84.42	$90.49	$90.49
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $120.21 / $148.65 / $392.72	Professional		$120.21	$148.65	$392.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.81 / $23.41 / $50.07	Facility		$14.81	$23.41	$50.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.21 / $28.93 / $70.54	Professional		$17.21	$28.93	$70.54
United Facility/Professional Professional Modifier Low / Median / High Price $15.12 / $20.94 / $47.69	Professional		$15.12	$20.94	$47.69