Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $23.99 / $165.96	Professional		$16.98	$23.99	$165.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $12.59 / $25.12	Professional		$12.59	$12.59	$25.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $28.84 / $40.74	Facility		$24.55	$28.84	$40.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $30.90 / $64.57	Professional		$17.78	$30.90	$64.57
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $20.89 / $60.26	Professional		$16.98	$20.89	$60.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $63.10 / $63.10	Facility		$63.10	$63.10	$63.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $24.55 / $75.86	Professional		$14.79	$24.55	$75.86
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $25.12 / $33.88	Professional		$18.20	$25.12	$33.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $28.18 / $44.67	Professional		$22.91	$28.18	$44.67
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $120.23 / $251.19	Facility		$120.23	$120.23	$251.19
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $2,818.38 / $2,818.38	Professional		$2,818.38	$2,818.38	$2,818.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $30.90 / $74.13	Facility		$20.89	$30.90	$74.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $30.20 / $75.86	Professional		$15.14	$30.20	$75.86
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $89.13 / $89.13	Professional		$89.13	$89.13	$89.13
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $20.42 / $275.42	Professional		$20.42	$20.42	$275.42
United Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $18.20 / $61.66	Professional		$15.14	$18.20	$61.66