Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $186.21 / $645.65	Professional		$120.23	$186.21	$645.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $141.25 / $173.78	Professional		$138.04	$141.25	$173.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $190.55 / $398.11	Professional		$125.89	$190.55	$398.11
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $194.98 / $426.58	Professional		$134.90	$194.98	$426.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $165.96 / $354.81	Professional		$114.82	$165.96	$354.81
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $208.93 / $281.84	Professional		$95.50	$208.93	$281.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $204.17 / $346.74	Professional		$154.88	$204.17	$346.74
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,288.25 / $1,288.25	Professional		$831.76	$1,288.25	$1,288.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $154.88	Professional		$32.36	$33.11	$154.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $165.96 / $346.74	Professional		$114.82	$165.96	$346.74
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $416.87 / $416.87	Professional		$416.87	$416.87	$416.87
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $190.55 / $234.42	Professional		$141.25	$190.55	$234.42
United Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $158.49 / $331.13	Professional		$97.72	$158.49	$331.13