Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.95 / $34.90 / $52.61	Facility		$29.95	$34.90	$52.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.16 / $29.98 / $56.49	Professional		$18.16	$29.98	$56.49
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.52 / $14.02 / $35.00	Professional		$10.52	$14.02	$35.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.42 / $7.65 / $12.94	Facility		$6.42	$7.65	$12.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.59 / $10.80 / $20.45	Professional		$6.59	$10.80	$20.45
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $14.43 / $23.51 / $46.09	Professional		$14.43	$23.51	$46.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.44 / $7.44 / $7.44	Professional		$7.44	$7.44	$7.44
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $18.23 / $20.05 / $24.61	Professional		$18.23	$20.05	$24.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $23.70 / $45.00	Professional		$15.00	$23.70	$45.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $37.01 / $90.00 / $99.52	Facility		$37.01	$90.00	$99.52
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $136.72 / $229.68 / $238.87	Professional		$136.72	$229.68	$238.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $60.00	Professional		$60.00	$60.00	$60.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.23 / $18.23 / $54.55	Facility		$18.23	$18.23	$54.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $7.44 / $7.44 / $19.30	Professional		$7.44	$7.44	$19.30
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $34.40 / $34.40 / $34.40	Professional		$34.40	$34.40	$34.40
United Facility/Professional Professional Modifier Low / Median / High Price $7.52 / $8.27 / $25.57	Professional		$7.52	$8.27	$25.57