Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $33.11 / $46.77	Professional		$15.85	$33.11	$46.77
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $36.31 / $39.81	Professional		$36.31	$36.31	$39.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $83.18 / $83.18	Facility		$83.18	$83.18	$83.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $36.31 / $54.95	Professional		$19.95	$36.31	$54.95
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $117.49 / $169.82	Professional		$50.12	$117.49	$169.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $74.13 / $74.13	Facility		$74.13	$74.13	$74.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $19.50 / $19.50	Professional		$19.50	$19.50	$19.50
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $25.12 / $50.12	Professional		$18.62	$25.12	$50.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $41.69 / $93.33	Professional		$41.69	$41.69	$93.33
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $218.78 / $218.78	Facility		$218.78	$218.78	$218.78
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $407.38 / $407.38	Professional		$263.03	$407.38	$407.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $64.57	Professional		$64.57	$64.57	$64.57
Providence Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $45.71 / $52.48	Facility		$23.99	$45.71	$52.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $19.95 / $72.44	Professional		$19.95	$19.95	$72.44
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $85.11	Professional		$85.11	$85.11	$85.11
United Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $20.42 / $40.74	Professional		$16.98	$20.42	$40.74