Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $136.40 / $224.44 / $893.25	Professional		$136.40	$224.44	$893.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $243.53 / $243.53 / $243.53	Professional		$243.53	$243.53	$243.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $136.63 / $226.79 / $505.11	Professional		$136.63	$226.79	$505.11
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $138.09 / $210.46 / $444.78	Professional		$138.09	$210.46	$444.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $150.43 / $258.54 / $591.79	Professional		$150.43	$258.54	$591.79
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $88.98 / $170.30 / $394.39	Professional		$88.98	$170.30	$394.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $145.78 / $267.75 / $490.00	Professional		$145.78	$267.75	$490.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,040.72 / $1,863.84 / $2,170.42	Professional		$1,040.72	$1,863.84	$2,170.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $217.21	Professional		$32.34	$32.34	$217.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $155.35 / $284.56 / $631.83	Professional		$155.35	$284.56	$631.83
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $468.49 / $468.49 / $821.92	Professional		$468.49	$468.49	$821.92
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $88.98 / $154.80 / $365.35	Professional		$88.98	$154.80	$365.35
United Facility/Professional Professional Modifier Low / Median / High Price $187.50 / $258.85 / $625.82	Professional		$187.50	$258.85	$625.82