Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.31 / $76.80 / $227.00	Professional		$54.31	$76.80	$227.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $77.51 / $77.51 / $120.02	Professional		$77.51	$77.51	$120.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.18 / $64.97 / $223.20	Professional		$43.18	$64.97	$223.20
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $26.24 / $37.49 / $54.91	Professional		$26.24	$37.49	$54.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.11 / $89.33 / $275.69	Professional		$38.11	$89.33	$275.69
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $36.54 / $45.67 / $134.97	Professional		$36.54	$45.67	$134.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $85.12 / $103.34 / $180.85	Professional		$85.12	$103.34	$180.85
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $493.60 / $493.60 / $759.30	Professional		$493.60	$493.60	$759.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $40.03 / $95.90 / $226.45	Professional		$40.03	$95.90	$226.45
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $247.73 / $247.73 / $247.73	Professional		$247.73	$247.73	$247.73
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $111.66 / $136.47 / $136.47	Professional		$111.66	$136.47	$136.47
United Facility/Professional Professional Modifier Low / Median / High Price $37.21 / $62.10 / $176.62	Professional		$37.21	$62.10	$176.62