Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.56 / $126.37 / $495.09	Professional		$81.56	$126.37	$495.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $242.82 / $242.82 / $242.82	Professional		$242.82	$242.82	$242.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $92.55 / $162.06 / $350.54	Professional		$92.55	$162.06	$350.54
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $96.90 / $152.66 / $309.13	Professional		$96.90	$152.66	$309.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.02 / $179.47 / $387.14	Professional		$103.02	$179.47	$387.14
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $102.17 / $143.11 / $292.22	Professional		$102.17	$143.11	$292.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $90.97 / $179.00 / $323.49	Professional		$90.97	$179.00	$323.49
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $866.00 / $1,249.59 / $1,461.98	Professional		$866.00	$1,249.59	$1,461.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $246.76	Professional		$32.34	$32.34	$246.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $108.17 / $202.32 / $428.00	Professional		$108.17	$202.32	$428.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $298.17 / $298.17 / $533.79	Professional		$298.17	$298.17	$533.79
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $92.80 / $174.94 / $240.57	Professional		$92.80	$174.94	$240.57
United Facility/Professional Professional Modifier Low / Median / High Price $124.20 / $172.14 / $400.20	Professional		$124.20	$172.14	$400.20