Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.26 / $35.45 / $141.03	Professional		$21.26	$35.45	$141.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $24.89 / $24.89 / $24.89	Professional		$24.89	$24.89	$24.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.19 / $45.80 / $82.55	Professional		$21.19	$45.80	$82.55
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $17.57 / $25.06 / $62.81	Professional		$17.57	$25.06	$62.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.01 / $31.50 / $80.12	Professional		$23.01	$31.50	$80.12
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $37.78 / $41.56 / $49.11	Professional		$37.78	$41.56	$49.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $29.21 / $37.78 / $70.93	Professional		$29.21	$37.78	$70.93
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $291.60 / $291.60 / $291.60	Professional		$291.60	$291.60	$291.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $23.09 / $31.89 / $74.27	Professional		$23.09	$31.89	$74.27
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $83.59 / $83.59 / $83.59	Professional		$83.59	$83.59	$83.59
United Facility/Professional Professional Modifier Low / Median / High Price $19.60 / $27.90 / $72.97	Professional		$19.60	$27.90	$72.97