Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.61 / $45.27 / $166.44	Professional		$35.61	$45.27	$166.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $35.40 / $35.40 / $35.40	Professional		$35.40	$35.40	$35.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.11 / $48.98 / $110.98	Professional		$39.11	$48.98	$110.98
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $26.16 / $37.36 / $55.01	Professional		$26.16	$37.36	$55.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.86 / $52.40 / $130.18	Professional		$34.86	$52.40	$130.18
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $25.43 / $42.36 / $57.71	Professional		$25.43	$42.36	$57.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $33.27 / $41.95 / $68.47	Professional		$33.27	$41.95	$68.47
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $236.47 / $290.70 / $358.65	Professional		$236.47	$290.70	$358.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $35.20 / $53.72 / $122.20	Professional		$35.20	$53.72	$122.20
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $125.85 / $125.85 / $153.50	Professional		$125.85	$125.85	$153.50
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $38.54 / $47.10 / $58.33	Professional		$38.54	$47.10	$58.33
United Facility/Professional Professional Modifier Low / Median / High Price $33.32 / $42.88 / $113.68	Professional		$33.32	$42.88	$113.68