Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.47 / $31.75 / $81.88	Professional		$28.47	$31.75	$81.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $48.78 / $48.78 / $48.78	Professional		$48.78	$48.78	$48.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.92 / $36.65 / $87.29	Professional		$12.92	$36.65	$87.29
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $30.04 / $42.91 / $49.86	Professional		$30.04	$42.91	$49.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.00 / $63.69 / $104.88	Professional		$37.00	$63.69	$104.88
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $16.72 / $60.09 / $69.97	Professional		$16.72	$60.09	$69.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $41.00 / $57.12 / $94.29	Professional		$41.00	$57.12	$94.29
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $205.87 / $226.29 / $226.29	Facility		$205.87	$226.29	$226.29
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $72.55 / $325.83 / $413.25	Professional		$72.55	$325.83	$413.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $37.22 / $54.55 / $68.13	Facility		$37.22	$54.55	$68.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $66.00 / $101.25	Professional		$40.00	$66.00	$101.25
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $32.00 / $153.94 / $174.39	Professional		$32.00	$153.94	$174.39
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $47.16 / $54.68 / $66.83	Professional		$47.16	$54.68	$66.83
United Facility/Professional Professional Modifier Low / Median / High Price $36.59 / $45.00 / $106.13	Professional		$36.59	$45.00	$106.13