Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.56 / $29.82 / $91.80	Professional		$22.56	$29.82	$91.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $37.58 / $37.58 / $46.65	Professional		$37.58	$37.58	$46.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.16 / $3.50 / $75.34	Facility		$3.16	$3.50	$75.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.95 / $45.00 / $75.00	Professional		$34.95	$45.00	$75.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $87.19 / $87.19 / $87.19	Facility		$87.19	$87.19	$87.19
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $58.50 / $60.99 / $60.99	Professional		$58.50	$60.99	$60.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.00 / $31.00 / $58.50	Facility		$31.00	$31.00	$58.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.35 / $31.00 / $54.00	Professional		$26.35	$31.00	$54.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $50.70 / $50.70 / $60.84	Professional		$50.70	$50.70	$60.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $37.32 / $43.54 / $83.97	Professional		$37.32	$43.54	$83.97
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $79.78 / $222.30 / $222.30	Facility		$79.78	$222.30	$222.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $23.40 / $36.70 / $73.65	Facility		$23.40	$36.70	$73.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $26.35 / $31.00 / $42.00	Professional		$26.35	$31.00	$42.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $95.99 / $95.99 / $95.99	Professional		$95.99	$95.99	$95.99
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $35.33 / $35.33 / $50.70	Professional		$35.33	$35.33	$50.70
United Facility/Professional Professional Modifier Low / Median / High Price $25.11 / $28.00 / $51.31	Professional		$25.11	$28.00	$51.31