Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.50 / $19.17 / $146.19	Facility		$17.50	$19.17	$146.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $22.51 / $146.19	Professional		$18.20	$22.51	$146.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $37.50 / $37.50 / $37.50	Professional		$37.50	$37.50	$37.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.80 / $23.58 / $39.89	Facility		$19.80	$23.58	$39.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.28 / $26.10 / $44.44	Professional		$24.28	$26.10	$44.44
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.80 / $89.33 / $130.46	Facility		$64.80	$89.33	$130.46
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $59.10 / $100.00 / $163.61	Professional		$59.10	$100.00	$163.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.69 / $28.69 / $28.69	Professional		$28.69	$28.69	$28.69
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $47.78 / $52.56 / $64.50	Professional		$47.78	$52.56	$64.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $32.84 / $68.43 / $125.90	Professional		$32.84	$68.43	$125.90
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $227.17 / $227.17	Facility		$80.00	$227.17	$227.17
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $241.29 / $247.73 / $358.35	Professional		$241.29	$247.73	$358.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $106.10 / $106.10 / $106.10	Professional		$106.10	$106.10	$106.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $44.17 / $47.78 / $68.79	Facility		$44.17	$47.78	$68.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $28.69 / $28.69 / $53.32	Professional		$28.69	$28.69	$53.32
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $95.63 / $95.63 / $95.63	Professional		$95.63	$95.63	$95.63
United Facility/Professional Professional Modifier Low / Median / High Price $25.28 / $26.06 / $65.92	Professional		$25.28	$26.06	$65.92