Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.95 / $106.65 / $262.13	Facility		$12.95	$106.65	$262.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.64 / $12.95 / $46.40	Professional		$12.64	$12.95	$46.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $13.20 / $33.25 / $150.00	Professional		$13.20	$33.25	$150.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.93 / $14.43 / $18.72	Facility		$11.93	$14.43	$18.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.00 / $14.04 / $27.58	Professional		$13.00	$14.04	$27.58
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $29.93 / $33.25 / $83.59	Professional		$29.93	$33.25	$83.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.26 / $13.26 / $13.26	Facility		$13.26	$13.26	$13.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.26 / $13.26 / $13.26	Professional		$13.26	$13.26	$13.26
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $18.87 / $18.87 / $22.64	Professional		$18.87	$18.87	$22.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $14.00 / $33.00 / $83.00	Professional		$14.00	$33.00	$83.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $100.00 / $100.00	Facility		$85.00	$100.00	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $101.10 / $101.10 / $101.10	Professional		$101.10	$101.10	$101.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $41.94 / $41.94 / $85.00	Professional		$41.94	$41.94	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.26 / $15.60 / $25.73	Facility		$13.26	$15.60	$25.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.26 / $13.26 / $14.82	Professional		$13.26	$13.26	$14.82
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $18.87 / $20.76 / $32.08	Professional		$18.87	$20.76	$32.08
United Facility/Professional Professional Modifier Low / Median / High Price $13.00 / $13.00 / $26.54	Professional		$13.00	$13.00	$26.54