Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.47 / $22.06 / $23.69	Facility		$19.47	$22.06	$23.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.17 / $22.32 / $85.24	Professional		$18.17	$22.32	$85.24
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $41.15 / $44.58 / $118.84	Professional		$41.15	$44.58	$118.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.09 / $26.98 / $26.98	Facility		$25.09	$26.98	$26.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.37 / $25.77 / $49.81	Professional		$17.37	$25.77	$49.81
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $18.63 / $24.42 / $40.76	Professional		$18.63	$24.42	$40.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.00 / $22.77 / $53.70	Professional		$17.00	$22.77	$53.70
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $20.11 / $24.98 / $33.54	Professional		$20.11	$24.98	$33.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $17.98 / $22.10 / $35.19	Professional		$17.98	$22.10	$35.19
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $95.38 / $101.94 / $101.94	Facility		$95.38	$101.94	$101.94
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $127.44 / $146.12 / $191.40	Professional		$127.44	$146.12	$191.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
Optum Facility/Professional Professional Modifier Low / Median / High Price $17.89 / $21.72 / $36.00	Professional		$17.89	$21.72	$36.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.47 / $24.84 / $32.28	Facility		$19.47	$24.84	$32.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.00 / $23.54 / $52.31	Professional		$17.00	$23.54	$52.31
Sutter Health Plus Facility/Professional Facility Modifier Low / Median / High Price $27.00 / $27.00 / $27.00	Facility		$27.00	$27.00	$27.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $17.89 / $22.05 / $50.40	Professional		$17.89	$22.05	$50.40
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $20.66 / $24.42 / $29.84	Professional		$20.66	$24.42	$29.84
United Facility/Professional Facility Modifier Low / Median / High Price $26.03 / $26.03 / $26.03	Facility		$26.03	$26.03	$26.03
United Facility/Professional Professional Modifier Low / Median / High Price $17.89 / $23.21 / $62.25	Professional		$17.89	$23.21	$62.25