Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.21 / $56.37 / $83.88	Professional		$39.21	$56.37	$83.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $29.26 / $29.26 / $29.26	Professional		$29.26	$29.26	$29.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.50 / $60.12 / $136.29	Professional		$43.50	$60.12	$136.29
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $95.10 / $308.35 / $838.81	Facility		$95.10	$308.35	$838.81
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $46.74 / $66.77 / $124.61	Professional		$46.74	$66.77	$124.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.09 / $84.87 / $181.33	Professional		$48.09	$84.87	$181.33
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $19.57 / $25.86 / $49.74	Professional		$19.57	$25.86	$49.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $25.69 / $40.14 / $79.27	Professional		$25.69	$40.14	$79.27
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $165.78 / $165.78 / $208.02	Facility		$165.78	$165.78	$208.02
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $624.00 / $624.00 / $624.00	Professional		$624.00	$624.00	$624.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $34.86 / $51.81 / $130.10	Facility		$34.86	$51.81	$130.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $49.68 / $88.32 / $171.88	Professional		$49.68	$88.32	$171.88
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $199.09 / $199.09 / $199.09	Professional		$199.09	$199.09	$199.09
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $37.72 / $46.10 / $46.10	Professional		$37.72	$46.10	$46.10
United Facility/Professional Professional Modifier Low / Median / High Price $38.81 / $55.01 / $106.60	Professional		$38.81	$55.01	$106.60