Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.48 / $17.48 / $74.22	Facility		$17.48	$17.48	$74.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.48 / $22.01 / $63.00	Professional		$17.48	$22.01	$63.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.29 / $19.29 / $19.29	Professional		$19.29	$19.29	$19.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.03 / $10.77 / $18.22	Facility		$9.03	$10.77	$18.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.27 / $15.30 / $31.20	Professional		$9.27	$15.30	$31.20
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $20.36 / $33.15 / $65.03	Professional		$20.36	$33.15	$65.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.49 / $10.49 / $10.49	Professional		$10.49	$10.49	$10.49
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $25.72 / $28.29 / $34.72	Professional		$25.72	$28.29	$34.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $18.00 / $32.15 / $59.16	Professional		$18.00	$32.15	$59.16
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $52.21 / $142.94 / $158.72	Facility		$52.21	$142.94	$158.72
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $200.00 / $365.74 / $380.37	Professional		$200.00	$365.74	$380.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $60.00	Professional		$60.00	$60.00	$60.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $25.72 / $25.72 / $86.87	Facility		$25.72	$25.72	$86.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.49 / $10.49 / $27.23	Professional		$10.49	$10.49	$27.23
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $48.55 / $48.55 / $48.55	Professional		$48.55	$48.55	$48.55
United Facility/Professional Professional Modifier Low / Median / High Price $10.45 / $11.14 / $33.47	Professional		$10.45	$11.14	$33.47