Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.01 / $57.28 / $81.51	Professional		$46.01	$57.28	$81.51
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $48.81 / $48.81 / $55.40	Professional		$48.81	$48.81	$55.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.30 / $72.52 / $149.99	Professional		$49.30	$72.52	$149.99
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $46.09 / $64.84 / $103.54	Professional		$46.09	$64.84	$103.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.00 / $66.42 / $142.94	Professional		$51.00	$66.42	$142.94
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $51.87 / $62.05 / $80.67	Professional		$51.87	$62.05	$80.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $42.03 / $51.19 / $83.33	Professional		$42.03	$51.19	$83.33
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $350.50 / $374.37 / $443.10	Professional		$350.50	$374.37	$443.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $51.00 / $64.00 / $138.94	Professional		$51.00	$64.00	$138.94
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $189.20 / $189.20 / $200.02	Professional		$189.20	$189.20	$200.02
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $49.75 / $56.44 / $68.98	Professional		$49.75	$56.44	$68.98
United Facility/Professional Professional Modifier Low / Median / High Price $48.72 / $69.08 / $205.66	Professional		$48.72	$69.08	$205.66