Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.96 / $34.96 / $148.41	Facility		$34.96	$34.96	$148.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.96 / $48.24 / $122.00	Professional		$34.96	$48.24	$122.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $26.25 / $38.59 / $94.67	Professional		$26.25	$38.59	$94.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.10 / $21.55 / $36.46	Facility		$18.10	$21.55	$36.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.57 / $30.50 / $57.70	Professional		$18.57	$30.50	$57.70
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $40.58 / $66.30 / $118.37	Professional		$40.58	$66.30	$118.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.99 / $20.99 / $20.99	Professional		$20.99	$20.99	$20.99
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $51.45 / $56.60 / $69.45	Professional		$51.45	$56.60	$69.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $36.02 / $66.89 / $118.34	Professional		$36.02	$66.89	$118.34
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $104.44 / $285.88 / $317.45	Facility		$104.44	$285.88	$317.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $402.00 / $731.46 / $760.72	Professional		$402.00	$731.46	$760.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $51.45 / $51.45 / $173.75	Facility		$51.45	$51.45	$173.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.99 / $20.99 / $54.46	Professional		$20.99	$20.99	$54.46
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $97.08 / $97.08 / $97.08	Professional		$97.08	$97.08	$97.08
United Facility/Professional Professional Modifier Low / Median / High Price $20.90 / $22.28 / $57.62	Professional		$20.90	$22.28	$57.62