Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $23.99 / $64.57	Professional		$16.98	$23.99	$64.57
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $47.86 / $47.86	Professional		$47.86	$47.86	$47.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.09 / $3.09 / $3.09	Facility		$3.09	$3.09	$3.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $32.36 / $85.11	Professional		$21.38	$32.36	$85.11
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $67.61 / $77.62	Facility		$67.61	$67.61	$77.62
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $39.81 / $154.88	Professional		$23.99	$39.81	$154.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $28.18 / $43.65	Facility		$28.18	$28.18	$43.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $28.18 / $44.67	Professional		$23.99	$28.18	$44.67
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 / $36.31 / $61.66	Professional		$30.90	$36.31	$61.66
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $204.17 / $204.17	Facility		$204.17	$204.17	$204.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $29.51 / $58.88	Facility		$15.49	$29.51	$58.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $28.18 / $32.36	Professional		$23.99	$28.18	$32.36
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $83.18 / $83.18	Professional		$83.18	$83.18	$83.18
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $40.74	Professional		$33.88	$33.88	$40.74
United Facility/Professional Facility Modifier Low / Median / High Price $1.51 / $13.80 / $25.12	Facility		$1.51	$13.80	$25.12
United Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $21.88 / $45.71	Professional		$16.98	$21.88	$45.71