Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.01 / $39.07 / $162.74	Professional		$34.01	$39.07	$162.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $59.48 / $59.48 / $59.48	Professional		$59.48	$59.48	$59.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.05 / $4.50 / $92.58	Facility		$4.05	$4.50	$92.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.07 / $44.15 / $54.98	Professional		$17.07	$44.15	$54.98
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $30.49 / $30.49 / $64.81	Professional		$30.49	$30.49	$64.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.06 / $36.06 / $47.33	Facility		$36.06	$36.06	$47.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.65 / $36.06 / $67.50	Professional		$30.65	$36.06	$67.50
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $59.48 / $59.48 / $71.38	Professional		$59.48	$59.48	$71.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $37.67 / $43.95 / $84.75	Professional		$37.67	$43.95	$84.75
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $258.29 / $258.29	Facility		$100.00	$258.29	$258.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $37.13 / $39.07 / $66.08	Facility		$37.13	$39.07	$66.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $30.65 / $36.06 / $45.08	Professional		$30.65	$36.06	$45.08
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $106.46 / $106.46 / $106.46	Professional		$106.46	$106.46	$106.46
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $43.41 / $43.41 / $59.48	Professional		$43.41	$43.41	$59.48
United Facility/Professional Professional Modifier Low / Median / High Price $23.14 / $27.76 / $51.33	Professional		$23.14	$27.76	$51.33