Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.09 / $9.10 / $9.10	Facility		$9.09	$9.10	$9.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.10 / $14.66 / $15.20	Professional		$9.10	$14.66	$15.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.16 / $43.00 / $44.41	Professional		$17.16	$43.00	$44.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.82 / $19.80 / $40.50	Professional		$16.82	$19.80	$40.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.38 / $8.38 / $8.38	Professional		$8.38	$8.38	$8.38
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $28.38 / $28.38 / $34.06	Professional		$28.38	$28.38	$34.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $38.00 / $801.00	Professional		$15.00	$38.00	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $90.00 / $100.00 / $100.00	Facility		$90.00	$100.00	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $22.69 / $22.69 / $22.69	Professional		$22.69	$22.69	$22.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $85.00	Professional		$60.00	$60.00	$85.00
Optum Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $15.00 / $15.45	Professional		$15.00	$15.00	$15.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $9.10 / $11.83 / $17.19	Facility		$9.10	$11.83	$17.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $8.38 / $8.38 / $41.17	Professional		$8.38	$8.38	$41.17
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $15.00 / $15.45	Professional		$15.00	$15.00	$15.45
United Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $15.00 / $15.45	Professional		$15.00	$15.00	$15.45