Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $61.66 / $91.20	Professional		$15.85	$61.66	$91.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $52.48 / $81.28	Professional		$52.48	$52.48	$81.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $44.67 / $102.33	Professional		$19.95	$44.67	$102.33
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $109.65 / $208.93	Professional		$41.69	$109.65	$208.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $43.65 / $89.13	Professional		$28.18	$43.65	$89.13
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $29.51 / $72.44	Professional		$18.62	$29.51	$72.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $33.11 / $52.48	Professional		$15.14	$33.11	$52.48
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $338.84 / $338.84	Professional		$302.00	$338.84	$338.84
Optum Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $69.18 / $131.83	Professional		$37.15	$69.18	$131.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $42.66 / $89.13	Professional		$28.18	$42.66	$89.13
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $66.07 / $134.90	Professional		$66.07	$66.07	$134.90
United Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $38.02 / $100.00	Professional		$17.78	$38.02	$100.00