Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.94 / $7.94 / $52.48	Facility		$7.94	$7.94	$52.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $12.30 / $33.88	Professional		$8.51	$12.30	$33.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $13.49 / $22.39	Professional		$6.92	$13.49	$22.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.37 / $5.50 / $13.80	Facility		$4.37	$5.50	$13.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.37 / $7.76 / $13.80	Professional		$4.37	$7.76	$13.80
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $12.88 / $28.18	Professional		$8.91	$12.88	$28.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $5.01 / $5.01	Professional		$5.01	$5.01	$5.01
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $13.80 / $16.60	Professional		$12.30	$13.80	$16.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $14.79 / $33.11	Professional		$11.22	$14.79	$33.11
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $89.13 / $89.13	Facility		$89.13	$89.13	$89.13
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $97.72 / $186.21	Professional		$97.72	$97.72	$186.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $12.30 / $36.31	Facility		$8.91	$12.30	$36.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $5.13 / $12.02	Professional		$5.13	$5.13	$12.02
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $22.91 / $22.91	Professional		$22.91	$22.91	$22.91
United Facility/Professional Professional Modifier Low / Median / High Price $4.68 / $5.25 / $12.02	Professional		$4.68	$5.25	$12.02