Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $40.74 / $331.13	Professional		$10.00	$40.74	$331.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $81.28 / $93.33	Professional		$35.48	$81.28	$93.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $57.54 / $81.28	Facility		$48.98	$57.54	$81.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $18.62 / $74.13	Professional		$10.47	$18.62	$74.13
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $10.96 / $32.36	Professional		$9.12	$10.96	$32.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $125.89 / $125.89	Facility		$125.89	$125.89	$125.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $26.92 / $89.13	Professional		$8.32	$26.92	$89.13
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $50.12 / $67.61	Professional		$12.30	$50.12	$67.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $56.23 / $87.10	Professional		$45.71	$56.23	$87.10
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $239.88 / $239.88	Facility		$239.88	$239.88	$239.88
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $380.19 / $380.19	Professional		$251.19	$380.19	$380.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $45.71 / $89.13	Facility		$20.89	$45.71	$89.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $30.20 / $95.50	Professional		$8.71	$30.20	$95.50
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $177.83 / $177.83	Professional		$177.83	$177.83	$177.83
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $40.74 / $186.21	Professional		$40.74	$40.74	$186.21
United Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $30.20 / $117.49	Professional		$9.55	$30.20	$117.49