Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $52.48 / $194.98	Professional		$30.90	$52.48	$194.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $36.31 / $100.00	Professional		$33.88	$36.31	$100.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $100.00 / $158.49	Professional		$58.88	$100.00	$158.49
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $87.10 / $173.78	Professional		$63.10	$87.10	$173.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $158.49 / $275.42	Professional		$51.29	$158.49	$275.42
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $60.26 / $79.43	Professional		$52.48	$60.26	$79.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $48.98 / $104.71	Professional		$38.02	$48.98	$104.71
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $436.52 / $457.09	Professional		$436.52	$436.52	$457.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $50.12	Professional		$50.12	$50.12	$50.12
Optum Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $30.90 / $39.81	Professional		$30.90	$30.90	$39.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $83.18 / $147.91	Professional		$45.71	$83.18	$147.91
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $114.82 / $114.82	Professional		$114.82	$114.82	$114.82
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $79.43 / $109.65	Professional		$44.67	$79.43	$109.65
United Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $52.48 / $95.50	Professional		$28.18	$52.48	$95.50