Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $28.84 / $97.72	Professional		$20.89	$28.84	$97.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $38.02 / $38.02	Professional		$38.02	$38.02	$38.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $37.15 / $114.82	Professional		$10.47	$37.15	$114.82
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $33.11 / $44.67	Professional		$24.55	$33.11	$44.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $40.74 / $61.66	Professional		$26.92	$40.74	$61.66
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $43.65 / $51.29	Professional		$16.60	$43.65	$51.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $39.81 / $58.88	Professional		$26.92	$39.81	$58.88
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $213.80 / $213.80	Facility		$213.80	$213.80	$213.80
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $43.65 / $323.59	Professional		$41.69	$43.65	$323.59
Optum Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.90 / $39.81	Professional		$30.20	$30.90	$39.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $37.15 / $52.48	Facility		$25.12	$37.15	$52.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $44.67 / $57.54	Professional		$28.84	$44.67	$57.54
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $114.82 / $134.90	Professional		$30.20	$114.82	$134.90
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $35.48 / $52.48	Professional		$29.51	$35.48	$52.48
United Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $33.11 / $67.61	Professional		$25.70	$33.11	$67.61