Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $19.95 / $125.89	Professional		$12.88	$19.95	$125.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $28.84 / $41.69	Professional		$28.84	$28.84	$41.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.34 / $2.34 / $2.34	Facility		$2.34	$2.34	$2.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $28.18 / $67.61	Professional		$15.85	$28.18	$67.61
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $48.98 / $61.66	Facility		$48.98	$48.98	$61.66
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $32.36 / $123.03	Professional		$18.62	$32.36	$123.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $23.44 / $33.11	Facility		$23.44	$23.44	$33.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $23.44 / $41.69	Professional		$19.95	$23.44	$41.69
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $35.48	Professional		$30.20	$30.20	$35.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $28.84 / $48.98	Professional		$24.55	$28.84	$48.98
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $165.96 / $165.96	Facility		$100.00	$165.96	$165.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $23.99 / $42.66	Facility		$11.75	$23.99	$42.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $23.44 / $27.54	Professional		$19.95	$23.44	$27.54
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $66.07 / $66.07	Professional		$66.07	$66.07	$66.07
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $26.92 / $30.20	Professional		$26.92	$26.92	$30.20
United Facility/Professional Facility Modifier Low / Median / High Price $1.17 / $10.72 / $20.89	Facility		$1.17	$10.72	$20.89
United Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $17.78 / $34.67	Professional		$12.88	$17.78	$34.67