Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.90 / $69.81 / $105.25	Facility		$59.90	$69.81	$105.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.00 / $60.20 / $105.25	Professional		$35.00	$60.20	$105.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $45.95 / $59.08 / $68.20	Professional		$45.95	$59.08	$68.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.84 / $15.28 / $25.86	Facility		$12.84	$15.28	$25.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.17 / $21.70 / $44.20	Professional		$13.17	$21.70	$44.20
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $28.78 / $47.01 / $92.20	Professional		$28.78	$47.01	$92.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.88 / $14.88 / $14.88	Professional		$14.88	$14.88	$14.88
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $36.47 / $40.11 / $49.23	Professional		$36.47	$40.11	$49.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $49.23 / $89.00	Professional		$30.00	$49.23	$89.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $74.03 / $179.81 / $199.67	Facility		$74.03	$179.81	$199.67
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $273.52 / $461.14 / $479.59	Professional		$273.52	$461.14	$479.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $36.47 / $36.47 / $109.57	Facility		$36.47	$36.47	$109.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.88 / $14.88 / $38.61	Professional		$14.88	$14.88	$38.61
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $68.84 / $68.84 / $68.84	Professional		$68.84	$68.84	$68.84
United Facility/Professional Professional Modifier Low / Median / High Price $14.82 / $15.80 / $43.76	Professional		$14.82	$15.80	$43.76