Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.22 / $22.93 / $35.08	Professional		$18.22	$22.93	$35.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $29.25 / $29.25 / $33.86	Professional		$29.25	$29.25	$33.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.01 / $31.30 / $59.52	Professional		$22.01	$31.30	$59.52
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $21.27 / $25.85 / $47.53	Professional		$21.27	$25.85	$47.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.87 / $28.87 / $41.43	Professional		$28.87	$28.87	$41.43
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $33.17 / $36.84 / $49.73	Professional		$33.17	$36.84	$49.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $25.04 / $30.47 / $50.67	Professional		$25.04	$30.47	$50.67
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $154.47 / $186.39 / $264.45	Professional		$154.47	$186.39	$264.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.63 / $32.34 / $47.71	Professional		$28.63	$32.34	$47.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $25.88 / $31.66 / $63.28	Professional		$25.88	$31.66	$63.28
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $76.61 / $76.61 / $89.84	Professional		$76.61	$76.61	$89.84
United Facility/Professional Professional Modifier Low / Median / High Price $21.06 / $30.87 / $99.56	Professional		$21.06	$30.87	$99.56