Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $50.12 / $74.13	Professional		$33.88	$50.12	$74.13
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $48.98 / $48.98 / $48.98	Professional	25	$48.98	$48.98	$48.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $42.66 / $42.66	Professional		$38.02	$42.66	$42.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $52.48 / $52.48	Facility		$52.48	$52.48	$52.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $61.66 / $123.03	Professional		$52.48	$61.66	$123.03
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $50.12 / $61.66	Professional		$36.31	$50.12	$61.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $53.70 / $79.43	Professional		$40.74	$53.70	$79.43
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $31.62 / $53.70	Professional		$25.12	$31.62	$53.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $48.98 / $67.61	Professional		$38.02	$48.98	$67.61
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $338.84 / $338.84	Facility		$338.84	$338.84	$338.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $52.48 / $66.07	Facility		$37.15	$52.48	$66.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $53.70 / $79.43	Professional		$42.66	$53.70	$79.43
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $144.54 / $144.54	Professional		$144.54	$144.54	$144.54
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $31.62 / $60.26	Professional		$25.12	$31.62	$60.26
United Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $32.36 / $56.23	Facility		$32.36	$32.36	$56.23
United Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $52.48 / $141.25	Professional		$39.81	$52.48	$141.25