Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.08 / $143.16 / $168.03	Professional		$123.08	$143.16	$168.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $38.75 / $38.75 / $38.75	Professional		$38.75	$38.75	$38.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.93 / $44.23 / $114.24	Professional		$28.93	$44.23	$114.24
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $26.40 / $40.38 / $103.55	Professional		$26.40	$40.38	$103.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.17 / $70.17 / $88.23	Professional		$70.17	$70.17	$88.23
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $56.14 / $75.79	Professional		$19.05	$56.14	$75.79
HealthNet Facility/Professional Professional Modifier Low / Median / High Price $275.63 / $275.63 / $275.63	Professional		$275.63	$275.63	$275.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $42.20 / $56.14 / $104.15	Professional		$42.20	$56.14	$104.15
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $463.00 / $463.00 / $463.00	Professional		$463.00	$463.00	$463.00
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 $41.18 / $47.34 / $97.97	Professional		$41.18	$47.34	$97.97
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $82.39 / $82.39 / $82.39	Professional		$82.39	$82.39	$82.39
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $28.59 / $62.44 / $80.30	Professional		$28.59	$62.44	$80.30
United Facility/Professional Professional Modifier Low / Median / High Price $24.90 / $34.59 / $88.98	Professional		$24.90	$34.59	$88.98