Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.05 / $68.27 / $80.31	Facility		$57.05	$68.27	$80.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.99 / $64.65 / $101.20	Professional		$54.99	$64.65	$101.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $67.33 / $67.33 / $67.33	Professional		$67.33	$67.33	$67.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $65.89 / $79.66 / $209.81	Facility		$65.89	$79.66	$209.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.51 / $73.37 / $143.19	Professional		$59.51	$73.37	$143.19
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $49.46 / $63.07 / $154.91	Professional		$49.46	$63.07	$154.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.24 / $79.50 / $176.40	Professional		$61.24	$79.50	$176.40
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $27.50 / $85.46 / $94.01	Professional		$27.50	$85.46	$94.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $68.70 / $88.09 / $175.58	Professional		$68.70	$88.09	$175.58
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $158.83 / $336.07 / $370.69	Facility		$158.83	$336.07	$370.69
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $95.93 / $423.16 / $434.48	Professional		$95.93	$423.16	$434.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $72.00 / $103.56 / $131.15	Facility		$72.00	$103.56	$131.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $58.43 / $85.84 / $176.40	Professional		$58.43	$85.84	$176.40
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $180.63 / $180.63 / $180.63	Professional		$180.63	$180.63	$180.63
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $35.75 / $46.75 / $77.70	Professional		$35.75	$46.75	$77.70
United Facility/Professional Professional Modifier Low / Median / High Price $53.03 / $83.84 / $190.17	Professional		$53.03	$83.84	$190.17