Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $67.61 / $354.81	Professional		$48.98	$67.61	$354.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $83.18 / $83.18	Professional		$83.18	$83.18	$83.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $102.33 / $245.47	Professional		$61.66	$102.33	$245.47
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $66.07 / $83.18	Professional		$51.29	$66.07	$83.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $87.10 / $162.18	Professional		$58.88	$87.10	$162.18
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $72.44 / $114.82	Professional		$66.07	$72.44	$114.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $85.11 / $141.25	Professional		$54.95	$85.11	$141.25
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $436.52 / $436.52	Facility		$436.52	$436.52	$436.52
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $691.83 / $691.83	Professional		$524.81	$691.83	$691.83
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 $52.48 / $74.13 / $112.20	Facility		$52.48	$74.13	$112.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $102.33 / $123.03	Professional		$72.44	$102.33	$123.03
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $281.84	Professional		$234.42	$234.42	$281.84
United Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $67.61 / $158.49	Professional		$50.12	$67.61	$158.49