Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $102.33 / $363.08	Professional		$66.07	$102.33	$363.08
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $57.54 / $57.54 / $57.54	Professional	52	$57.54	$57.54	$57.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $75.86 / $125.89	Professional		$63.10	$75.86	$125.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $177.83 / $288.40	Professional		$112.20	$177.83	$288.40
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $147.91 / $295.12	Professional		$107.15	$147.91	$295.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $114.82 / $239.88	Professional		$81.28	$114.82	$239.88
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $104.71 / $144.54	Professional		$95.50	$104.71	$144.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $85.11 / $186.21	Professional		$70.79	$85.11	$186.21
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $1,412.54	Professional		$1,412.54	$1,412.54	$1,412.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00
Optum Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $30.90 / $39.81	Professional		$30.90	$30.90	$39.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $120.23 / $208.93	Professional		$81.28	$120.23	$208.93
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $234.42	Professional		$234.42	$234.42	$234.42
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $181.97 / $275.42	Professional		$81.28	$181.97	$275.42
United Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $95.50 / $177.83	Professional		$57.54	$95.50	$177.83