Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.86 / $72.34 / $369.87	Professional		$45.86	$72.34	$369.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $29.74 / $123.42 / $299.25	Professional		$29.74	$123.42	$299.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.49 / $102.10 / $203.86	Professional		$33.49	$102.10	$203.86
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $68.89 / $97.86 / $233.37	Professional		$68.89	$97.86	$233.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.70 / $75.70 / $75.70	Facility		$75.70	$75.70	$75.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.25 / $55.06 / $179.73	Professional		$33.25	$55.06	$179.73
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $55.88 / $68.20 / $92.07	Professional		$55.88	$68.20	$92.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $56.52 / $69.08 / $119.95	Professional		$56.52	$69.08	$119.95
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $141.13 / $332.76 / $332.76	Facility		$141.13	$332.76	$332.76
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $485.70 / $951.12 / $989.16	Professional		$485.70	$951.12	$989.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.19 / $72.19 / $72.19	Professional		$72.19	$72.19	$72.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $62.20 / $78.50 / $132.26	Facility		$62.20	$78.50	$132.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $37.75 / $91.22 / $180.28	Professional		$37.75	$91.22	$180.28
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $239.27 / $239.27 / $239.27	Professional		$239.27	$239.27	$239.27
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $55.13 / $55.13 / $75.80	Professional		$55.13	$55.13	$75.80
United Facility/Professional Professional Modifier Low / Median / High Price $39.61 / $50.44 / $146.44	Professional		$39.61	$50.44	$146.44