Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.98 / $24.00 / $43.87	Professional		$13.98	$24.00	$43.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $24.90 / $25.88 / $25.88	Professional		$24.90	$25.88	$25.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $21.30 / $48.20	Professional		$6.61	$21.30	$48.20
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $16.61 / $23.73 / $27.95	Professional		$16.61	$23.73	$27.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.04 / $47.25 / $101.25	Professional		$20.04	$47.25	$101.25
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $16.72 / $32.40 / $35.64	Professional		$16.72	$32.40	$35.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $20.39 / $29.16 / $50.52	Professional		$20.39	$29.16	$50.52
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $99.92 / $109.58 / $109.58	Facility		$99.92	$109.58	$109.58
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $37.31 / $173.83 / $221.85	Professional		$37.31	$173.83	$221.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.79 / $27.68 / $38.88	Facility		$19.79	$27.68	$38.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $23.38 / $43.05 / $96.18	Professional		$23.38	$43.05	$96.18
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $26.00 / $74.06 / $93.30	Professional		$26.00	$74.06	$93.30
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $22.79 / $27.85 / $36.03	Professional		$22.79	$27.85	$36.03
United Facility/Professional Professional Modifier Low / Median / High Price $20.16 / $25.30 / $62.88	Professional		$20.16	$25.30	$62.88