Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.01 / $23.85 / $82.68	Professional		$19.01	$23.85	$82.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.69 / $12.69 / $12.69	Professional		$12.69	$12.69	$12.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.63 / $27.80 / $40.52	Facility		$23.63	$27.80	$40.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.32 / $25.53 / $63.88	Professional		$17.32	$25.53	$63.88
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $13.24 / $18.92 / $65.81	Professional		$13.24	$18.92	$65.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.25 / $60.25 / $60.25	Facility		$60.25	$60.25	$60.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.96 / $24.27 / $96.30	Professional		$14.96	$24.27	$96.30
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $18.29 / $25.37 / $34.25	Professional		$18.29	$25.37	$34.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $22.83 / $27.91 / $44.40	Professional		$22.83	$27.91	$44.40
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $44.14 / $120.51 / $120.51	Facility		$44.14	$120.51	$120.51
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,796.55 / $2,796.55 / $2,796.55	Professional		$2,796.55	$2,796.55	$2,796.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $25.37 / $30.80 / $75.34	Facility		$25.37	$30.80	$75.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.88 / $30.70 / $65.26	Professional		$15.88	$30.70	$65.26
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $89.04 / $89.04 / $89.04	Professional		$89.04	$89.04	$89.04
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $20.30 / $20.30 / $274.35	Professional		$20.30	$20.30	$274.35
United Facility/Professional Professional Modifier Low / Median / High Price $15.22 / $18.16 / $55.81	Professional		$15.22	$18.16	$55.81