Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $41.69 / $186.21	Professional		$25.70	$41.69	$186.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $43.65 / $104.71	Professional		$31.62	$43.65	$104.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $54.95 / $128.82	Professional		$33.88	$54.95	$128.82
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $32.36 / $43.65	Professional		$26.92	$32.36	$43.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $45.71 / $87.10	Professional		$32.36	$45.71	$87.10
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $39.81 / $61.66	Professional		$33.11	$39.81	$61.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $44.67 / $74.13	Professional		$28.18	$44.67	$74.13
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $218.78 / $218.78	Facility		$218.78	$218.78	$218.78
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $371.54 / $371.54	Professional		$281.84	$371.54	$371.54
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 Facility Modifier Low / Median / High Price $27.54 / $40.74 / $60.26	Facility		$27.54	$40.74	$60.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $51.29 / $64.57	Professional		$39.81	$51.29	$64.57
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $117.49 / $147.91	Professional		$117.49	$117.49	$147.91
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $37.15 / $63.10	Professional		$30.20	$37.15	$63.10
United Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $37.15 / $79.43	Professional		$27.54	$37.15	$79.43