Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.94 / $19.95 / $134.90	Facility		$7.94	$19.95	$134.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $23.44 / $72.44	Professional		$8.71	$23.44	$72.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $11.22 / $14.79	Professional		$8.91	$11.22	$14.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $20.42 / $100.00	Professional		$9.55	$20.42	$100.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $34.67 / $87.10	Facility		$34.67	$34.67	$87.10
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $14.79 / $26.92	Professional		$11.75	$14.79	$26.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $15.14 / $36.31	Professional		$10.47	$15.14	$36.31
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $54.95 / $66.07	Professional		$43.65	$54.95	$66.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $15.49 / $21.38	Professional		$12.88	$15.49	$21.38
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $239.88 / $239.88	Facility		$239.88	$239.88	$239.88
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $331.13 / $331.13	Professional		$125.89	$331.13	$331.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $16.22 / $17.78	Professional		$16.22	$16.22	$17.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $12.88 / $22.39	Facility		$8.91	$12.88	$22.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $15.85 / $50.12	Professional		$10.47	$15.85	$50.12
United Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $11.22 / $28.84	Professional		$7.08	$11.22	$28.84