Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $32.36 / $138.04	Professional		$28.18	$32.36	$138.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $46.77 / $48.98	Professional		$46.77	$46.77	$48.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $47.86 / $151.36	Professional		$13.80	$47.86	$151.36
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $42.66 / $57.54	Professional		$31.62	$42.66	$57.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $47.86 / $75.86	Professional		$28.18	$47.86	$75.86
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $58.88 / $66.07	Professional		$16.60	$58.88	$66.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $52.48 / $75.86	Professional		$36.31	$52.48	$75.86
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $288.40 / $288.40	Facility		$288.40	$288.40	$288.40
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $57.54 / $416.87	Professional		$51.29	$57.54	$416.87
Optum Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $32.36 / $39.81	Professional		$30.90	$32.36	$39.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $48.98 / $66.07	Facility		$31.62	$48.98	$66.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $57.54 / $75.86	Professional		$32.36	$57.54	$75.86
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $154.88 / $173.78	Professional		$32.36	$154.88	$173.78
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $48.98 / $67.61	Professional		$39.81	$48.98	$67.61
United Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $43.65 / $87.10	Professional		$34.67	$43.65	$87.10