Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.95 / $89.40 / $357.18	Professional		$69.95	$89.40	$357.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $47.79 / $164.36 / $356.69	Professional		$47.79	$164.36	$356.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.14 / $103.91 / $223.17	Professional		$65.14	$103.91	$223.17
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $65.17 / $87.16 / $209.48	Professional		$65.17	$87.16	$209.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $103.02 / $103.02 / $103.02	Facility		$103.02	$103.02	$103.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.37 / $54.24 / $161.94	Professional		$42.37	$54.24	$161.94
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $60.98 / $111.36 / $153.16	Professional		$60.98	$111.36	$153.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $77.73 / $102.85 / $170.18	Professional		$77.73	$102.85	$170.18
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $370.89 / $405.98 / $405.98	Facility		$370.89	$405.98	$405.98
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $517.22 / $604.04 / $788.70	Professional		$517.22	$604.04	$788.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $67.58 / $67.58 / $112.64	Professional		$67.58	$67.58	$112.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $62.00 / $108.89 / $149.94	Facility		$62.00	$108.89	$149.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $44.31 / $94.84 / $242.39	Professional		$44.31	$94.84	$242.39
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $318.22 / $318.22 / $372.84	Professional		$318.22	$318.22	$372.84
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $75.01 / $91.72 / $126.12	Professional		$75.01	$91.72	$126.12
United Facility/Professional Facility Modifier Low / Median / High Price $168.00 / $168.00 / $168.00	Facility		$168.00	$168.00	$168.00
United Facility/Professional Professional Modifier Low / Median / High Price $53.92 / $63.07 / $255.89	Professional		$53.92	$63.07	$255.89