Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.44 / $39.00 / $168.86	Professional		$24.44	$39.00	$168.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $43.65 / $43.65	Professional		$43.65	$43.65	$43.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.15 / $45.34 / $83.37	Professional		$30.15	$45.34	$83.37
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $21.79 / $30.67 / $41.55	Professional		$21.79	$30.67	$41.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.52 / $46.72 / $87.80	Professional		$32.52	$46.72	$87.80
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $38.40 / $42.25 / $58.92	Professional		$38.40	$42.25	$58.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $31.45 / $46.56 / $84.67	Professional		$31.45	$46.56	$84.67
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $155.94 / $169.29 / $169.29	Facility		$155.94	$169.29	$169.29
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $219.09 / $279.82 / $372.08	Professional		$219.09	$279.82	$372.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $32.08 / $42.77 / $58.06	Facility		$32.08	$42.77	$58.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $36.69 / $51.00 / $74.39	Professional		$36.69	$51.00	$74.39
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $117.48 / $117.48 / $148.72	Professional		$117.48	$117.48	$148.72
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $34.92 / $42.68 / $59.53	Professional		$34.92	$42.68	$59.53
United Facility/Professional Professional Modifier Low / Median / High Price $31.67 / $39.50 / $99.55	Professional		$31.67	$39.50	$99.55