Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.95 / $13.95 / $52.29	Facility		$13.95	$13.95	$52.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.94 / $18.00 / $47.85	Professional		$13.94	$18.00	$47.85
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $13.25 / $16.30 / $29.35	Professional		$13.25	$16.30	$29.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.38 / $7.60 / $12.86	Facility		$6.38	$7.60	$12.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.55 / $10.80 / $20.44	Professional		$6.55	$10.80	$20.44
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $14.35 / $23.36 / $45.81	Professional		$14.35	$23.36	$45.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.39 / $7.39 / $7.39	Professional		$7.39	$7.39	$7.39
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $18.12 / $19.93 / $24.46	Professional		$18.12	$19.93	$24.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $12.68 / $23.56 / $44.00	Professional		$12.68	$23.56	$44.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $36.78 / $114.01 / $126.60	Facility		$36.78	$114.01	$126.60
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $160.00 / $293.29 / $305.02	Professional		$160.00	$293.29	$305.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.12 / $18.12 / $69.65	Facility		$18.12	$18.12	$69.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $7.39 / $7.39 / $19.19	Professional		$7.39	$7.39	$19.19
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $34.20 / $34.20 / $34.20	Professional		$34.20	$34.20	$34.20
United Facility/Professional Professional Modifier Low / Median / High Price $7.34 / $7.85 / $23.49	Professional		$7.34	$7.85	$23.49