Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.04 / $20.56 / $33.92	Professional		$19.04	$20.56	$33.92
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.13 / $10.13 / $20.26	Professional		$10.13	$10.13	$20.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.87 / $22.20 / $32.36	Facility		$18.87	$22.20	$32.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $32.92 / $62.24	Professional		$11.48	$32.92	$62.24
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $12.56 / $17.94 / $62.41	Professional		$12.56	$17.94	$62.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.66 / $48.66 / $48.66	Facility		$48.66	$48.66	$48.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.16 / $21.55 / $72.20	Professional		$13.16	$21.55	$72.20
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $18.00 / $20.26 / $27.35	Professional		$18.00	$20.26	$27.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $18.23 / $22.29 / $35.46	Professional		$18.23	$22.29	$35.46
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $35.25 / $96.72 / $105.64	Facility		$35.25	$96.72	$105.64
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $151.94 / $166.58 / $166.58	Professional		$151.94	$166.58	$166.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $24.31 / $24.31 / $24.31	Professional		$24.31	$24.31	$24.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.67 / $27.29 / $66.84	Facility		$20.67	$27.29	$66.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.84 / $25.33 / $56.75	Professional		$13.84	$25.33	$56.75
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $71.11 / $71.11 / $71.11	Professional		$71.11	$71.11	$71.11
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $16.21 / $16.21 / $270.00	Professional		$16.21	$16.21	$270.00
United Facility/Professional Professional Modifier Low / Median / High Price $12.16 / $17.22 / $52.13	Professional		$12.16	$17.22	$52.13