Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.17 / $156.34 / $643.00	Professional		$106.17	$156.34	$643.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $91.84 / $91.84 / $91.84	Professional		$91.84	$91.84	$91.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $122.82 / $164.55 / $342.28	Professional		$122.82	$164.55	$342.28
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $109.59 / $161.16 / $372.80	Professional		$109.59	$161.16	$372.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.30 / $167.00 / $389.30	Professional		$108.30	$167.00	$389.30
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $95.19 / $201.51 / $272.04	Professional		$95.19	$201.51	$272.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $154.07 / $201.51 / $351.70	Professional		$154.07	$201.51	$351.70
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $832.84 / $832.84 / $1,291.95	Professional		$832.84	$832.84	$1,291.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $113.53 / $170.77 / $368.98	Professional		$113.53	$170.77	$368.98
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $415.84 / $415.84 / $415.84	Professional		$415.84	$415.84	$415.84
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $142.79 / $191.17 / $232.13	Professional		$142.79	$191.17	$232.13
United Facility/Professional Professional Modifier Low / Median / High Price $98.05 / $158.34 / $405.16	Professional		$98.05	$158.34	$405.16