Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.88 / $7.53 / $74.05	Facility		$6.88	$7.53	$74.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.53 / $11.57 / $74.05	Professional		$7.53	$11.57	$74.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.22 / $28.22 / $28.22	Professional		$28.22	$28.22	$28.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.86 / $9.47 / $25.04	Facility		$7.86	$9.47	$25.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.93 / $10.93 / $23.85	Professional		$10.93	$10.93	$23.85
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $27.03 / $35.11 / $54.26	Facility		$27.03	$35.11	$54.26
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $13.87 / $55.08 / $96.44	Professional		$13.87	$55.08	$96.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.70 / $15.42 / $32.04	Facility		$14.70	$15.42	$32.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.11 / $13.11 / $17.82	Professional		$13.11	$13.11	$17.82
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $20.52 / $25.65 / $30.78	Professional		$20.52	$25.65	$30.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $15.39 / $17.96 / $39.76	Professional		$15.39	$17.96	$39.76
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $121.84 / $121.84	Facility		$75.00	$121.84	$121.84
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $165.74 / $169.70 / $169.70	Professional		$165.74	$169.70	$169.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $7.02 / $22.69 / $26.64	Facility		$7.02	$22.69	$26.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.11 / $15.42 / $24.42	Professional		$13.11	$15.42	$24.42
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $48.44 / $48.44 / $48.44	Professional		$48.44	$48.44	$48.44
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $20.52 / $30.04 / $39.04	Professional		$20.52	$30.04	$39.04
United Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $10.88 / $24.36	Professional		$9.77	$10.88	$24.36