Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.95 / $13.95 / $43.79	Facility		$13.95	$13.95	$43.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.94 / $18.23 / $38.78	Professional		$13.94	$18.23	$38.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.40 / $15.20 / $24.17	Professional		$11.40	$15.20	$24.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.34 / $6.36 / $10.76	Facility		$5.34	$6.36	$10.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.48 / $9.00 / $18.42	Professional		$5.48	$9.00	$18.42
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $19.57 / $38.36	Professional		$12.02	$19.57	$38.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.20 / $6.20 / $6.20	Professional		$6.20	$6.20	$6.20
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $15.20 / $16.72 / $20.52	Professional		$15.20	$16.72	$20.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $13.00 / $20.00 / $36.00	Professional		$13.00	$20.00	$36.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $34.27 / $114.01 / $126.60	Facility		$34.27	$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 $15.20 / $15.20 / $69.65	Facility		$15.20	$15.20	$69.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $6.20 / $6.20 / $16.09	Professional		$6.20	$6.20	$16.09
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $28.64 / $28.64 / $28.64	Professional		$28.64	$28.64	$28.64
United Facility/Professional Professional Modifier Low / Median / High Price $6.44 / $7.13 / $27.77	Professional		$6.44	$7.13	$27.77