Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.55 / $22.64 / $251.90	Facility		$19.55	$22.64	$251.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.54 / $20.23 / $34.84	Professional		$17.54	$20.23	$34.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $13.05 / $19.93 / $23.45	Professional		$13.05	$19.93	$23.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.16 / $18.35 / $48.28	Facility		$15.16	$18.35	$48.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.88 / $20.26 / $39.11	Professional		$15.88	$20.26	$39.11
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $96.60 / $204.68 / $402.09	Facility		$96.60	$204.68	$402.09
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $15.77 / $22.53 / $48.34	Professional		$15.77	$22.53	$48.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.69 / $166.60 / $497.14	Facility		$22.69	$166.60	$497.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.30 / $26.61 / $52.87	Professional		$20.30	$26.61	$52.87
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $27.37 / $30.11 / $36.95	Professional		$27.37	$30.11	$36.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $19.64 / $24.66 / $47.00	Professional		$19.64	$24.66	$47.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $38.32 / $92.34 / $110.34	Facility		$38.32	$92.34	$110.34
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $120.34 / $120.34 / $174.90	Professional		$120.34	$120.34	$174.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.66 / $25.73 / $36.38	Facility		$18.66	$25.73	$36.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.00 / $30.11 / $50.95	Professional		$21.00	$30.11	$50.95
United Facility/Professional Professional Modifier Low / Median / High Price $15.64 / $21.27 / $49.93	Professional		$15.64	$21.27	$49.93