Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.20 / $7.20 / $52.02	Facility		$7.20	$7.20	$52.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.20 / $8.31 / $42.00	Professional		$7.20	$8.31	$42.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $26.19 / $26.19 / $26.19	Professional		$26.19	$26.19	$26.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.35 / $7.57 / $12.80	Facility		$6.35	$7.57	$12.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.52 / $10.70 / $21.88	Professional		$6.52	$10.70	$21.88
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $14.28 / $23.26 / $45.57	Professional		$14.28	$23.26	$45.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.36 / $7.36 / $7.36	Professional		$7.36	$7.36	$7.36
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $18.03 / $19.82 / $24.34	Professional		$18.03	$19.82	$24.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $16.23 / $24.34 / $41.47	Professional		$16.23	$24.34	$41.47
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $36.60 / $90.00 / $90.00	Facility		$36.60	$90.00	$90.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $135.22 / $151.96 / $158.04	Professional		$135.22	$151.96	$158.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.16 / $18.03 / $36.10	Facility		$17.16	$18.03	$36.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $7.36 / $7.36 / $19.09	Professional		$7.36	$7.36	$19.09
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $34.02 / $34.02 / $34.02	Professional		$34.02	$34.02	$34.02
United Facility/Professional Professional Modifier Low / Median / High Price $7.33 / $7.82 / $25.28	Professional		$7.33	$7.82	$25.28