Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.59 / $33.44 / $39.45	Facility		$29.59	$33.44	$39.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.57 / $31.50 / $43.39	Professional		$24.57	$31.50	$43.39
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $26.25 / $30.18 / $52.90	Professional		$26.25	$30.18	$52.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.60 / $41.51 / $41.51	Facility		$38.60	$41.51	$41.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.96 / $38.20 / $76.98	Professional		$28.96	$38.20	$76.98
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $24.86 / $30.13 / $53.88	Professional		$24.86	$30.13	$53.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.88 / $42.02 / $95.94	Professional		$30.88	$42.02	$95.94
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $31.24 / $31.24 / $37.49	Professional		$31.24	$31.24	$37.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $29.41 / $34.74 / $53.09	Professional		$29.41	$34.74	$53.09
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $143.82 / $155.99 / $547.76	Facility		$143.82	$155.99	$547.76
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $742.70 / $742.70 / $742.70	Professional		$742.70	$742.70	$742.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.37 / $50.00 / $85.00	Professional		$29.37	$50.00	$85.00
Optum Facility/Professional Professional Modifier Low / Median / High Price $27.48 / $35.00 / $46.18	Professional		$27.48	$35.00	$46.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $28.43 / $38.00 / $48.68	Facility		$28.43	$38.00	$48.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $32.20 / $43.54 / $86.10	Professional		$32.20	$43.54	$86.10
Sutter Health Plus Facility/Professional Facility Modifier Low / Median / High Price $31.00 / $35.00 / $35.00	Facility		$31.00	$35.00	$35.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $27.48 / $35.00 / $46.18	Professional		$27.48	$35.00	$46.18
United Facility/Professional Facility Modifier Low / Median / High Price $39.04 / $39.04 / $39.04	Facility		$39.04	$39.04	$39.04
United Facility/Professional Professional Modifier Low / Median / High Price $27.48 / $35.00 / $80.23	Professional		$27.48	$35.00	$80.23