Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.70 / $61.25 / $170.27	Professional		$42.70	$61.25	$170.27
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $58.45 / $334.65 / $334.65	Professional		$58.45	$334.65	$334.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.04 / $64.00 / $129.04	Professional		$47.04	$64.00	$129.04
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $48.04 / $68.63 / $131.25	Professional		$48.04	$68.63	$131.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $71.91 / $143.54	Professional		$48.98	$71.91	$143.54
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $29.04 / $50.19 / $86.01	Professional		$29.04	$50.19	$86.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $45.30 / $70.23 / $127.67	Professional		$45.30	$70.23	$127.67
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $325.12 / $470.64 / $554.10	Professional		$325.12	$470.64	$554.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $49.15 / $77.31 / $153.22	Professional		$49.15	$77.31	$153.22
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $147.55 / $147.55 / $208.86	Professional		$147.55	$147.55	$208.86
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $32.52 / $49.37 / $86.83	Professional		$32.52	$49.37	$86.83
United Facility/Professional Professional Modifier Low / Median / High Price $50.80 / $67.34 / $143.82	Professional		$50.80	$67.34	$143.82