Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $47.86 / $251.19	Professional		$33.88	$47.86	$251.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $77.62 / $77.62	Professional		$77.62	$77.62	$77.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $61.66 / $107.15	Professional		$45.71	$61.66	$107.15
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $63.10 / $123.03	Professional		$41.69	$63.10	$123.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $50.12 / $97.72	Professional		$37.15	$50.12	$97.72
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $69.18 / $89.13	Professional		$66.07	$69.18	$89.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $61.66 / $199.53	Professional		$50.12	$61.66	$199.53
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $371.54 / $371.54	Professional		$323.59	$371.54	$371.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $57.54 / $57.54	Professional		$57.54	$57.54	$57.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $51.29 / $104.71	Professional		$37.15	$51.29	$104.71
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $117.49 / $117.49	Professional		$117.49	$117.49	$117.49
United Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $40.74 / $81.28	Professional		$28.18	$40.74	$81.28