Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.69 / $26.66 / $44.98	Professional		$15.69	$26.66	$44.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $33.85 / $33.85 / $33.85	Professional		$33.85	$33.85	$33.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.29 / $19.29 / $19.29	Facility		$19.29	$19.29	$19.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.10 / $33.00 / $79.84	Professional		$17.10	$33.00	$79.84
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $95.10 / $97.90 / $266.33	Facility		$95.10	$97.90	$266.33
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $15.42 / $28.38 / $58.50	Professional		$15.42	$28.38	$58.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.60 / $36.59 / $75.04	Professional		$18.60	$36.59	$75.04
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $21.54 / $21.54 / $40.00	Professional		$21.54	$21.54	$40.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $18.52 / $37.95 / $81.00	Professional		$18.52	$37.95	$81.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $81.76 / $88.87 / $88.87	Facility		$81.76	$88.87	$88.87
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $129.35 / $217.92 / $287.48	Professional		$129.35	$217.92	$287.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.32 / $34.04 / $58.79	Facility		$19.32	$34.04	$58.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.96 / $37.94 / $80.68	Professional		$18.96	$37.94	$80.68
United Facility/Professional Professional Modifier Low / Median / High Price $25.22 / $32.29 / $60.44	Professional		$25.22	$32.29	$60.44