Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $19.05 / $70.79	Professional		$15.14	$19.05	$70.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $34.67 / $40.74	Professional		$29.51	$34.67	$40.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.86 / $1.86 / $1.86	Facility		$1.86	$1.86	$1.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $23.99 / $74.13	Professional		$16.60	$23.99	$74.13
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $26.92 / $104.71	Professional		$25.12	$26.92	$104.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $19.95 / $35.48	Facility		$19.95	$19.95	$35.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $19.95 / $33.88	Professional		$16.98	$19.95	$33.88
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $30.90 / $37.15	Professional		$30.90	$30.90	$37.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $26.92 / $46.77	Professional		$23.44	$26.92	$46.77
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $141.25 / $141.25	Facility		$100.00	$141.25	$141.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $23.44 / $44.67	Facility		$16.22	$23.44	$44.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $19.95 / $26.30	Professional		$16.98	$19.95	$26.30
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $58.88 / $58.88	Professional		$58.88	$58.88	$58.88
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $22.91 / $30.90	Professional		$22.91	$22.91	$30.90
United Facility/Professional Facility Modifier Low / Median / High Price $1.29 / $12.30 / $20.42	Facility		$1.29	$12.30	$20.42
United Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $19.50 / $36.31	Professional		$15.49	$19.50	$36.31