Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.91 / $24.66 / $71.55	Professional		$18.91	$24.66	$71.55
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $13.41 / $32.78 / $60.24	Professional		$13.41	$32.78	$60.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.67 / $35.84 / $75.50	Professional		$25.67	$35.84	$75.50
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $18.39 / $25.93 / $65.88	Professional		$18.39	$25.93	$65.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.54 / $31.54 / $31.54	Facility		$31.54	$31.54	$31.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.06 / $18.38 / $68.37	Professional		$12.06	$18.38	$68.37
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $10.53 / $31.33 / $42.30	Professional		$10.53	$31.33	$42.30
HealthNet Facility/Professional Professional Modifier Low / Median / High Price $64.70 / $64.70 / $64.70	Professional		$64.70	$64.70	$64.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $24.77 / $29.66 / $48.16	Professional		$24.77	$29.66	$48.16
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.98 / $113.59 / $130.72	Facility		$55.98	$113.59	$130.72
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $143.78 / $143.78 / $207.00	Professional		$143.78	$143.78	$207.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.09 / $26.09 / $26.09	Professional		$26.09	$26.09	$26.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $23.17 / $32.36 / $46.50	Facility		$23.17	$32.36	$46.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.07 / $31.57 / $66.91	Professional		$13.07	$31.57	$66.91
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $97.57 / $97.57 / $97.57	Professional		$97.57	$97.57	$97.57
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $25.34 / $25.34 / $34.84	Professional		$25.34	$25.34	$34.84
United Facility/Professional Professional Modifier Low / Median / High Price $14.78 / $18.22 / $58.83	Professional		$14.78	$18.22	$58.83