Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.39 / $26.34 / $102.00	Professional		$20.39	$26.34	$102.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $26.45 / $26.45 / $26.45	Professional		$26.45	$26.45	$26.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.98 / $25.52 / $52.40	Professional		$17.98	$25.52	$52.40
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $16.37 / $22.05 / $55.68	Professional		$16.37	$22.05	$55.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.23 / $27.90 / $68.62	Professional		$20.23	$27.90	$68.62
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $7.40 / $34.11 / $40.93	Professional		$7.40	$34.11	$40.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $25.92 / $35.56 / $65.02	Professional		$25.92	$35.56	$65.02
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $153.47 / $153.47 / $213.38	Professional		$153.47	$153.47	$213.38
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 $20.47 / $28.98 / $61.32	Professional		$20.47	$28.98	$61.32
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $75.18 / $75.18 / $75.18	Professional		$75.18	$75.18	$75.18
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $8.88 / $15.91 / $37.93	Professional		$8.88	$15.91	$37.93
United Facility/Professional Professional Modifier Low / Median / High Price $16.38 / $21.88 / $56.44	Professional		$16.38	$21.88	$56.44