Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.94 / $15.94 / $95.70	Facility		$15.94	$15.94	$95.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.93 / $23.10 / $97.95	Professional		$15.93	$23.10	$97.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $33.18 / $41.00 / $52.76	Professional		$33.18	$41.00	$52.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.68 / $13.90 / $23.52	Facility		$11.68	$13.90	$23.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.98 / $19.70 / $37.20	Professional		$11.98	$19.70	$37.20
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $26.17 / $42.75 / $83.84	Professional		$26.17	$42.75	$83.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.54 / $13.54 / $13.54	Professional		$13.54	$13.54	$13.54
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $33.18 / $36.50 / $44.79	Professional		$33.18	$36.50	$44.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $43.13 / $76.31	Professional		$25.00	$43.13	$76.31
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $67.36 / $155.28 / $157.61	Facility		$67.36	$155.28	$157.61
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $248.85 / $335.71 / $349.14	Professional		$248.85	$335.71	$349.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $33.18 / $33.18 / $79.69	Facility		$33.18	$33.18	$79.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.54 / $13.54 / $35.11	Professional		$13.54	$13.54	$35.11
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $62.60 / $62.60 / $62.60	Professional		$62.60	$62.60	$62.60
United Facility/Professional Professional Modifier Low / Median / High Price $13.63 / $14.37 / $43.15	Professional		$13.63	$14.37	$43.15