Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.63 / $23.68 / $96.92	Professional		$16.63	$23.68	$96.92
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $37.58 / $37.58 / $37.58	Professional		$37.58	$37.58	$37.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.35 / $2.60 / $2.60	Facility		$2.35	$2.60	$2.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.00 / $32.50 / $70.59	Professional		$26.00	$32.50	$70.59
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $19.48 / $35.13 / $48.15	Professional		$19.48	$35.13	$48.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.27 / $24.27 / $48.15	Facility		$24.27	$24.27	$48.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.63 / $24.27 / $42.38	Professional		$20.63	$24.27	$42.38
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $40.85 / $40.85 / $49.02	Professional		$40.85	$40.85	$49.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $30.07 / $35.08 / $67.65	Professional		$30.07	$35.08	$67.65
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $76.00 / $174.00 / $174.00	Facility		$76.00	$174.00	$174.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $29.76 / $60.62	Facility		$16.60	$29.76	$60.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.63 / $24.27 / $31.85	Professional		$20.63	$24.27	$31.85
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $77.38 / $77.38 / $77.38	Professional		$77.38	$77.38	$77.38
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $28.13 / $28.13 / $40.85	Professional		$28.13	$28.13	$40.85
United Facility/Professional Facility Modifier Low / Median / High Price $1.79 / $16.32 / $23.97	Facility		$1.79	$16.32	$23.97
United Facility/Professional Professional Modifier Low / Median / High Price $19.37 / $21.73 / $33.94	Professional		$19.37	$21.73	$33.94