Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.03 / $25.53 / $62.23	Professional		$20.03	$25.53	$62.23
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $52.47 / $52.47 / $52.47	Professional	50	$52.47	$52.47	$52.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.72 / $23.40 / $51.74	Professional		$19.72	$23.40	$51.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.98 / $25.26 / $55.22	Professional		$19.98	$25.26	$55.22
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $33.09 / $37.89 / $43.62	Professional	50	$33.09	$37.89	$43.62
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $18.61 / $26.58 / $48.98	Professional		$18.61	$26.58	$48.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.18 / $29.26 / $60.04	Professional		$21.18	$29.26	$60.04
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $22.11 / $29.05 / $34.88	Professional		$22.11	$29.05	$34.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $18.86 / $28.18 / $51.17	Professional		$18.86	$28.18	$51.17
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $128.44 / $128.44 / $132.19	Facility		$128.44	$128.44	$132.19
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $140.87 / $153.85 / $201.90	Professional		$140.87	$153.85	$201.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $22.99 / $29.76 / $38.86	Facility		$22.99	$29.76	$38.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.69 / $30.35 / $62.22	Professional		$21.69	$30.35	$62.22
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $75.02 / $75.02 / $82.23	Professional		$75.02	$75.02	$82.23
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $23.50 / $28.72 / $32.29	Professional		$23.50	$28.72	$32.29
United Facility/Professional Professional Modifier Low / Median / High Price $18.46 / $23.43 / $43.98	Professional		$18.46	$23.43	$43.98