Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.28 / $78.92 / $110.00	Professional		$40.28	$78.92	$110.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $91.46 / $91.46 / $91.46	Professional		$91.46	$91.46	$91.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $190.53 / $190.53 / $190.53	Facility		$190.53	$190.53	$190.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.42 / $107.96 / $130.07	Professional		$47.42	$107.96	$130.07
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $266.76 / $389.61	Professional		$100.00	$266.76	$389.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.82 / $46.82 / $46.82	Professional		$46.82	$46.82	$46.82
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $65.94 / $116.08	Professional		$65.00	$65.94	$116.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $94.98 / $94.98 / $131.91	Professional		$94.98	$94.98	$131.91
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $167.07 / $224.17 / $544.61	Facility		$167.07	$224.17	$544.61
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $643.85 / $643.85 / $975.53	Professional		$643.85	$643.85	$975.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $63.47 / $105.53 / $117.65	Facility		$63.47	$105.53	$117.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $46.82 / $46.82 / $152.41	Professional		$46.82	$46.82	$152.41
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $199.19 / $199.19 / $199.19	Professional		$199.19	$199.19	$199.19
United Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $48.67 / $134.54	Professional		$45.00	$48.67	$134.54