Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.28 / $42.80 / $112.07	Professional		$32.28	$42.80	$112.07
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $78.06 / $78.06 / $79.54	Professional		$78.06	$78.06	$79.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.01 / $59.67 / $110.53	Professional		$38.01	$59.67	$110.53
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $50.11 / $109.33	Professional		$37.15	$50.11	$109.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.06 / $50.58 / $105.86	Professional		$37.06	$50.58	$105.86
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $58.27 / $64.09 / $78.66	Professional		$58.27	$64.09	$78.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $44.19 / $58.27 / $155.58	Professional		$44.19	$58.27	$155.58
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $325.73 / $325.73 / $368.48	Professional		$325.73	$325.73	$368.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $38.00 / $59.38 / $103.80	Professional		$38.00	$59.38	$103.80
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $117.90 / $117.90 / $117.90	Professional		$117.90	$117.90	$117.90
United Facility/Professional Professional Modifier Low / Median / High Price $27.76 / $40.39 / $88.01	Professional		$27.76	$40.39	$88.01