Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $37.15 / $120.23	Professional		$21.88	$37.15	$120.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $25.12 / $60.26	Professional		$17.78	$25.12	$60.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $52.48 / $95.50	Professional		$35.48	$52.48	$95.50
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $43.65 / $87.10	Professional		$31.62	$43.65	$87.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $41.69 / $81.28	Professional		$27.54	$41.69	$81.28
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $44.67 / $60.26	Professional		$33.88	$44.67	$60.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $39.81 / $70.79	Professional		$30.90	$39.81	$70.79
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $323.59 / $323.59	Professional		$323.59	$323.59	$323.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $28.84 / $28.84	Professional		$28.84	$28.84	$28.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $43.65 / $77.62	Professional		$28.84	$43.65	$77.62
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $85.11	Professional		$85.11	$85.11	$85.11
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $43.65 / $57.54	Professional		$33.88	$43.65	$57.54
United Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $33.88 / $64.57	Professional		$19.95	$33.88	$64.57