Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $95.50 / $281.84	Professional		$47.86	$95.50	$281.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $114.82 / $239.88	Professional		$83.18	$114.82	$239.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $128.82 / $288.40	Professional		$63.10	$128.82	$288.40
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $97.72 / $234.42	Professional		$64.57	$97.72	$234.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $104.71 / $234.42	Professional		$66.07	$104.71	$234.42
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $128.82 / $173.78	Professional		$54.95	$128.82	$173.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $123.03 / $223.87	Professional		$95.50	$123.03	$223.87
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $776.25 / $776.25	Professional		$707.95	$776.25	$776.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $95.50	Professional		$32.36	$33.11	$95.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $104.71 / $234.42	Professional		$67.61	$104.71	$234.42
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $269.15 / $269.15	Professional		$269.15	$269.15	$269.15
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $109.65 / $141.25	Professional		$83.18	$109.65	$141.25
United Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $102.33 / $208.93	Professional		$61.66	$102.33	$208.93