Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.51 / $10.14 / $136.30	Facility		$8.51	$10.14	$136.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.50 / $16.04 / $59.00	Professional		$8.50	$16.04	$59.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.40 / $11.35 / $63.61	Professional		$10.40	$11.35	$63.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.61 / $13.09 / $77.00	Professional		$8.61	$13.09	$77.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $34.58 / $101.16 / $134.57	Facility		$34.58	$101.16	$134.57
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $10.53 / $13.71 / $21.86	Professional		$10.53	$13.71	$21.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.43 / $17.69 / $85.75	Professional		$10.43	$17.69	$85.75
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $43.92 / $54.90 / $65.88	Professional		$43.92	$54.90	$65.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $11.60 / $14.18 / $27.56	Professional		$11.60	$14.18	$27.56
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $66.88 / $184.73 / $246.98	Facility		$66.88	$184.73	$246.98
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $329.00 / $329.00 / $329.00	Professional		$329.00	$329.00	$329.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.32 / $16.32 / $85.00	Professional		$16.32	$16.32	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $8.57 / $12.68 / $22.03	Facility		$8.57	$12.68	$22.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.73 / $24.66 / $80.00	Professional		$10.73	$24.66	$80.00
United Facility/Professional Facility Modifier Low / Median / High Price $13.40 / $13.40 / $13.40	Facility		$13.40	$13.40	$13.40
United Facility/Professional Professional Modifier Low / Median / High Price $7.28 / $12.05 / $39.07	Professional		$7.28	$12.05	$39.07