Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $15.14 / $15.14	Facility		$12.88	$15.14	$15.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $16.22 / $56.23	Professional		$10.96	$16.22	$56.23
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $25.12 / $44.67 / $44.67	Professional	25	$25.12	$44.67	$44.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $20.42 / $34.67	Professional		$12.88	$20.42	$34.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $15.14 / $16.98	Facility		$12.30	$15.14	$16.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $16.98 / $28.84	Professional		$12.88	$16.98	$28.84
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $18.62 / $35.48	Professional		$13.49	$18.62	$35.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $17.78 / $19.50	Facility		$17.78	$17.78	$19.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $19.50 / $37.15	Professional		$14.79	$19.50	$37.15
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $19.05 / $24.55	Professional		$12.30	$19.05	$24.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $15.85 / $25.70	Professional		$10.72	$15.85	$25.70
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $81.28 / $81.28	Facility		$81.28	$81.28	$81.28
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Professional		$93.33	$93.33	$93.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $15.49 / $24.55	Facility		$10.96	$15.49	$24.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $21.38 / $38.02	Professional		$15.14	$21.38	$38.02
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $39.81	Professional		$33.88	$33.88	$39.81
United Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $15.14 / $15.14	Facility		$15.14	$15.14	$15.14
United Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $15.49 / $26.92	Professional		$10.72	$15.49	$26.92