Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.18 / $35.93 / $56.27	Professional		$23.18	$35.93	$56.27
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $22.14 / $22.14 / $22.14	Professional		$22.14	$22.14	$22.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.98 / $4.41 / $107.17	Facility		$3.98	$4.41	$107.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.11 / $51.67 / $83.81	Professional		$44.11	$51.67	$83.81
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $95.68 / $95.68 / $95.68	Facility		$95.68	$95.68	$95.68
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $35.86 / $42.94 / $78.54	Professional		$35.86	$42.94	$78.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.49 / $42.49 / $64.20	Facility		$40.49	$42.49	$64.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.11 / $42.49 / $74.63	Professional		$36.11	$42.49	$74.63
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $50.40 / $50.40 / $60.48	Professional		$50.40	$50.40	$60.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $45.28 / $52.82 / $101.87	Professional		$45.28	$52.82	$101.87
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $97.74 / $304.95 / $304.95	Facility		$97.74	$304.95	$304.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $22.51 / $44.30 / $80.81	Facility		$22.51	$44.30	$80.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $36.11 / $42.49 / $51.33	Professional		$36.11	$42.49	$51.33
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $125.25 / $125.25 / $125.25	Professional		$125.25	$125.25	$125.25
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $50.25 / $50.25 / $50.40	Professional		$50.25	$50.25	$50.40
United Facility/Professional Professional Modifier Low / Median / High Price $27.32 / $32.24 / $56.73	Professional		$27.32	$32.24	$56.73