Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.69 / $27.51 / $85.00	Professional		$19.69	$27.51	$85.00
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $9.47 / $13.02 / $64.47	Professional	52	$9.47	$13.02	$64.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $40.60 / $40.60 / $42.75	Professional		$40.60	$40.60	$42.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.04 / $25.15 / $72.08	Professional		$16.04	$25.15	$72.08
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $11.97 / $17.10 / $24.08	Professional		$11.97	$17.10	$24.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.10 / $30.47 / $96.08	Professional		$18.10	$30.47	$96.08
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $10.75 / $13.91 / $45.60	Professional		$10.75	$13.91	$45.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $28.80 / $34.97 / $61.22	Professional		$28.80	$34.97	$61.22
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $162.13 / $162.13 / $258.60	Professional		$162.13	$162.13	$258.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.10 / $31.81 / $73.63	Professional		$18.10	$31.81	$73.63
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $79.98 / $79.98 / $79.98	Professional		$79.98	$79.98	$79.98
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 $14.93 / $21.12 / $53.74	Professional		$14.93	$21.12	$53.74