Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.93 / $100.43 / $369.00	Professional		$66.93	$100.43	$369.00
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $32.63 / $42.90 / $147.81	Professional	52	$32.63	$42.90	$147.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $63.96 / $75.25 / $148.80	Professional		$63.96	$75.25	$148.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.35 / $166.62 / $292.41	Professional		$83.35	$166.62	$292.41
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $92.30 / $127.28 / $251.90	Professional		$92.30	$127.28	$251.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.73 / $117.23 / $279.87	Professional		$80.73	$117.23	$279.87
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $91.23 / $100.35 / $145.97	Professional		$91.23	$100.35	$145.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $67.73 / $86.28 / $186.00	Professional		$67.73	$86.28	$186.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,420.00 / $1,420.00 / $1,420.00	Professional		$1,420.00	$1,420.00	$1,420.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $100.24	Professional		$32.34	$32.34	$100.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $81.54 / $121.34 / $206.95	Professional		$81.54	$121.34	$206.95
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $234.44 / $234.44 / $234.44	Professional		$234.44	$234.44	$234.44
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $78.59 / $161.53 / $259.61	Professional		$78.59	$161.53	$259.61
United Facility/Professional Professional Modifier Low / Median / High Price $56.00 / $91.56 / $180.00	Professional		$56.00	$91.56	$180.00