Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $12.02 / $181.97	Facility		$12.02	$12.02	$181.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $28.84 / $123.03	Professional		$12.88	$28.84	$123.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $28.84 / $28.84	Professional		$28.84	$28.84	$28.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $19.05 / $47.86	Facility		$15.14	$19.05	$47.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $26.92 / $46.77	Professional		$15.14	$26.92	$46.77
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $43.65 / $97.72	Professional		$30.20	$43.65	$97.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $16.98 / $16.98	Professional		$16.98	$16.98	$16.98
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $46.77 / $57.54	Professional		$42.66	$46.77	$57.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $48.98 / $95.50	Professional		$38.90	$48.98	$95.50
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $199.53 / $199.53	Facility		$199.53	$199.53	$199.53
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $316.23 / $316.23	Professional		$281.84	$316.23	$316.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $42.66 / $72.44	Facility		$26.92	$42.66	$72.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $17.38 / $40.74	Professional		$17.38	$17.38	$40.74
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Professional		$79.43	$79.43	$79.43
United Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $18.20 / $41.69	Professional		$15.85	$18.20	$41.69