Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.34 / $8.48 / $9.13	Facility		$8.34	$8.48	$9.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $26.45 / $39.90	Professional		$22.91	$26.45	$39.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $13.31 / $23.95 / $49.76	Professional		$13.31	$23.95	$49.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.78 / $29.16 / $42.50	Facility		$24.78	$29.16	$42.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.01 / $50.08 / $105.63	Professional		$15.01	$50.08	$105.63
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $16.42 / $23.46 / $81.63	Professional		$16.42	$23.46	$81.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $63.34 / $63.34 / $63.34	Facility		$63.34	$63.34	$63.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.39 / $28.65 / $119.27	Professional		$17.39	$28.65	$119.27
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $23.50 / $26.61 / $35.92	Professional		$23.50	$26.61	$35.92
HealthNet Facility/Professional Professional Modifier Low / Median / High Price $26.61 / $26.61 / $83.29	Professional		$26.61	$26.61	$83.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $23.95 / $29.27 / $46.57	Professional		$23.95	$29.27	$46.57
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.70 / $126.40 / $253.54	Facility		$55.70	$126.40	$253.54
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,255.68 / $3,255.68 / $3,255.68	Professional		$3,255.68	$3,255.68	$3,255.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $26.61 / $33.38 / $91.16	Facility		$26.61	$33.38	$91.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.55 / $33.26 / $74.94	Professional		$19.55	$33.26	$74.94
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $93.40 / $93.40 / $93.40	Professional		$93.40	$93.40	$93.40
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $21.29 / $21.29 / $352.50	Professional		$21.29	$21.29	$352.50
United Facility/Professional Professional Modifier Low / Median / High Price $15.97 / $22.76 / $68.47	Professional		$15.97	$22.76	$68.47