Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $47.86 / $177.83	Professional		$28.84	$47.86	$177.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $56.23 / $81.28	Professional		$13.80	$56.23	$81.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $56.23 / $134.90	Professional		$35.48	$56.23	$134.90
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $60.26 / $134.90	Professional		$38.90	$60.26	$134.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $44.67 / $44.67	Facility		$44.67	$44.67	$44.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $31.62 / $85.11	Professional		$18.20	$31.62	$85.11
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $42.66 / $89.13	Professional		$31.62	$42.66	$89.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $51.29 / $85.11	Professional		$28.18	$51.29	$85.11
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $218.78 / $218.78	Facility		$218.78	$218.78	$218.78
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $446.68 / $446.68	Professional		$363.08	$446.68	$446.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $53.70 / $95.50	Facility		$33.11	$53.70	$95.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $35.48 / $107.15	Professional		$19.05	$35.48	$107.15
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $134.90 / $199.53	Professional		$134.90	$134.90	$199.53
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $53.70 / $72.44	Professional		$25.70	$53.70	$72.44
United Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Facility		$60.26	$60.26	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $32.36 / $109.65	Professional		$21.38	$32.36	$109.65