Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $190.55 / $575.44	Facility		$21.88	$190.55	$575.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $43.65 / $467.74	Professional		$21.88	$43.65	$467.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $27.54 / $30.20	Professional		$27.54	$27.54	$30.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $30.20 / $75.86	Facility		$23.99	$30.20	$75.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $35.48 / $97.72	Professional		$24.55	$35.48	$97.72
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $38.02 / $85.11	Professional		$26.92	$38.02	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $28.18 / $28.18	Professional		$28.18	$28.18	$28.18
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $30.90 / $39.81	Professional		$30.90	$30.90	$39.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $34.67 / $63.10	Professional		$27.54	$34.67	$63.10
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $199.53 / $199.53	Facility		$199.53	$199.53	$199.53
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $257.04 / $257.04	Professional		$199.53	$257.04	$257.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $37.15 / $37.15	Professional		$37.15	$37.15	$37.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $35.48 / $56.23	Facility		$27.54	$35.48	$56.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $25.12 / $64.57	Professional		$25.12	$25.12	$64.57
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $107.15 / $107.15	Professional		$107.15	$107.15	$107.15
United Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $1,584.89 / $6,456.54	Facility		$588.84	$1,584.89	$6,456.54
United Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $35.48 / $87.10	Professional		$25.70	$35.48	$87.10