Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $22.91 / $97.72	Professional		$16.60	$22.91	$97.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $38.02 / $50.12	Professional		$35.48	$38.02	$50.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.57 / $2.57 / $2.57	Facility		$2.57	$2.57	$2.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $28.84 / $109.65	Professional		$22.91	$28.84	$109.65
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $35.48 / $131.83	Professional		$34.67	$35.48	$131.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $24.55 / $44.67	Facility		$24.55	$24.55	$44.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $24.55 / $41.69	Professional		$20.42	$24.55	$41.69
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $40.74 / $48.98	Professional		$40.74	$40.74	$48.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $35.48 / $61.66	Professional		$30.90	$35.48	$61.66
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $173.78 / $173.78	Facility		$100.00	$173.78	$173.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $29.51 / $61.66	Facility		$16.60	$29.51	$61.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $24.55 / $31.62	Professional		$20.42	$24.55	$31.62
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $77.62 / $77.62	Professional		$77.62	$77.62	$77.62
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $28.84 / $40.74	Professional		$28.84	$28.84	$40.74
United Facility/Professional Facility Modifier Low / Median / High Price $1.62 / $13.80 / $23.44	Facility		$1.62	$13.80	$23.44
United Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $21.88 / $56.23	Professional		$17.78	$21.88	$56.23