Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $58.88 / $309.03	Professional		$40.74	$58.88	$309.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $70.79 / $75.86	Professional		$60.26	$70.79	$75.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $87.10 / $204.17	Professional		$53.70	$87.10	$204.17
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $54.95 / $70.79	Professional		$43.65	$54.95	$70.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $72.44 / $134.90	Professional		$52.48	$72.44	$134.90
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $61.66 / $97.72	Professional		$56.23	$61.66	$97.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $70.79 / $120.23	Professional		$46.77	$70.79	$120.23
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $363.08 / $363.08	Facility		$363.08	$363.08	$363.08
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $588.84 / $588.84	Professional		$446.68	$588.84	$588.84
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 $43.65 / $63.10 / $95.50	Facility		$43.65	$63.10	$95.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $85.11 / $102.33	Professional		$61.66	$85.11	$102.33
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $234.42	Professional		$194.98	$194.98	$234.42
United Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $58.88 / $128.82	Professional		$43.65	$58.88	$128.82