Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $104.71 / $426.58	Professional		$48.98	$104.71	$426.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $173.78	Professional		$173.78	$173.78	$173.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $77.62 / $169.82	Professional		$45.71	$77.62	$169.82
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $83.18 / $165.96	Professional		$51.29	$83.18	$165.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $91.20 / $194.98	Professional		$53.70	$91.20	$194.98
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $61.66 / $154.88	Professional		$45.71	$61.66	$154.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $102.33 / $199.53	Professional		$42.66	$102.33	$199.53
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $870.96 / $870.96	Professional		$724.44	$870.96	$870.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $147.91	Professional		$87.10	$87.10	$147.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $97.72 / $213.80	Professional		$53.70	$97.72	$213.80
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $323.59	Professional		$169.82	$169.82	$323.59
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $95.50 / $125.89	Professional		$41.69	$95.50	$125.89
United Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $75.86 / $162.18	Professional		$44.67	$75.86	$162.18