Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.16 / $21.38 / $87.70	Professional		$12.16	$21.38	$87.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $32.82 / $32.82 / $96.54	Professional		$32.82	$32.82	$96.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.87 / $22.20 / $32.36	Facility		$18.87	$22.20	$32.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.96 / $24.15 / $51.99	Professional		$15.96	$24.15	$51.99
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $12.56 / $17.94 / $62.41	Professional		$12.56	$17.94	$62.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.66 / $48.66 / $48.66	Facility		$48.66	$48.66	$48.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.65 / $10.65 / $10.65	Professional		$10.65	$10.65	$10.65
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $20.26 / $22.29 / $32.42	Professional		$20.26	$22.29	$32.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $18.23 / $22.29 / $35.46	Professional		$18.23	$22.29	$35.46
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $39.15 / $96.72 / $96.72	Facility		$39.15	$96.72	$96.72
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $142.29 / $146.19 / $151.94	Professional		$142.29	$146.19	$151.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.26 / $24.92 / $52.83	Facility		$20.26	$24.92	$52.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.65 / $10.65 / $29.17	Professional		$10.65	$10.65	$29.17
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $62.60 / $62.60 / $62.60	Professional		$62.60	$62.60	$62.60
United Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $12.16 / $45.04	Professional		$8.51	$12.16	$45.04