Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $12.02 / $15.14	Facility		$12.02	$12.02	$15.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $10.00 / $15.14	Professional		$6.03	$10.00	$15.14
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $18.20 / $60.26	Professional		$9.55	$18.20	$60.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $25.12 / $63.10	Facility		$19.95	$25.12	$63.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $26.92 / $27.54	Professional		$15.49	$26.92	$27.54
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $45.71 / $69.18	Professional		$26.30	$45.71	$69.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $28.84 / $28.84	Facility		$17.78	$28.84	$28.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $20.89 / $28.84	Professional		$20.89	$20.89	$28.84
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $60.26	Professional		$50.12	$50.12	$60.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $28.18 / $630.96	Professional		$20.89	$28.18	$630.96
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $89.13 / $89.13	Facility		$89.13	$89.13	$89.13
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $112.20 / $112.20	Professional		$97.72	$112.20	$112.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Professional		$60.26	$60.26	$60.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $6.61 / $17.38 / $28.18	Facility		$6.61	$17.38	$28.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $20.89 / $28.84	Professional		$20.89	$20.89	$28.84
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $66.07 / $85.11	Professional		$50.12	$66.07	$85.11
United Facility/Professional Facility Modifier Low / Median / High Price $1.45 / $8.71 / $10.72	Facility		$1.45	$8.71	$10.72
United Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $8.71 / $18.62	Professional		$6.92	$8.71	$18.62