Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.55 / $8.55 / $9.16	Facility		$8.55	$8.55	$9.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.91 / $9.60 / $31.74	Professional		$7.91	$9.60	$31.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $18.95 / $20.00 / $23.78	Professional		$18.95	$20.00	$23.78
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $19.96 / $19.96 / $19.96	Professional	25	$19.96	$19.96	$19.96
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $8.21 / $11.00 / $29.68	Professional		$8.21	$11.00	$29.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.12 / $23.12 / $23.12	Facility		$23.12	$23.12	$23.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.36 / $14.30 / $34.28	Professional		$9.36	$14.30	$34.28
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $8.11 / $28.14 / $37.99	Professional		$8.11	$28.14	$37.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $21.40 / $28.31 / $44.47	Professional		$21.40	$28.31	$44.47
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $39.40 / $95.00 / $112.96	Facility		$39.40	$95.00	$112.96
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $106.42 / $106.42 / $116.52	Professional		$106.42	$106.42	$116.52
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 $11.12 / $16.13 / $81.16	Professional		$11.12	$16.13	$81.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $9.16 / $26.10 / $35.29	Facility		$9.16	$26.10	$35.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $9.75 / $16.96 / $36.36	Professional		$9.75	$16.96	$36.36
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $11.12 / $18.98 / $81.16	Professional		$11.12	$18.98	$81.16
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $22.76 / $31.30 / $31.30	Professional		$22.76	$31.30	$31.30
United Facility/Professional Facility Modifier Low / Median / High Price $23.74 / $23.74 / $23.74	Facility		$23.74	$23.74	$23.74
United Facility/Professional Professional Modifier Low / Median / High Price $7.56 / $10.65 / $27.33	Professional		$7.56	$10.65	$27.33