Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.20 / $253.50 / $772.80	Professional		$126.20	$253.50	$772.80
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $423.55 / $423.55 / $423.55	Professional	50	$423.55	$423.55	$423.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $153.91 / $294.95 / $644.05	Professional		$153.91	$294.95	$644.05
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $213.24 / $402.27 / $540.48	Professional	50	$213.24	$402.27	$540.48
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $143.34 / $273.19 / $532.55	Professional		$143.34	$273.19	$532.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.56 / $280.80 / $718.12	Professional		$144.56	$280.80	$718.12
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $83.40 / $168.92 / $372.90	Professional		$83.40	$168.92	$372.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $138.19 / $278.85 / $505.29	Professional		$138.19	$278.85	$505.29
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,855.00 / $1,942.64 / $2,273.48	Professional		$1,855.00	$1,942.64	$2,273.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $147.63 / $294.83 / $709.00	Professional		$147.63	$294.83	$709.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $434.02 / $434.02 / $868.00	Professional		$434.02	$434.02	$868.00
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $105.17 / $150.11 / $376.76	Professional		$105.17	$150.11	$376.76
United Facility/Professional Professional Modifier Low / Median / High Price $208.60 / $294.62 / $795.98	Professional		$208.60	$294.62	$795.98