Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.28 / $106.50 / $467.04	Professional		$74.28	$106.50	$467.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $225.89 / $275.33 / $307.02	Professional		$225.89	$275.33	$307.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $111.53 / $327.83 / $817.87	Professional		$111.53	$327.83	$817.87
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $200.78 / $313.83 / $590.41	Professional		$200.78	$313.83	$590.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $178.22 / $320.07 / $1,178.33	Professional		$178.22	$320.07	$1,178.33
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $220.29 / $361.96 / $488.65	Professional		$220.29	$361.96	$488.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $254.12 / $329.40 / $614.04	Professional		$254.12	$329.40	$614.04
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,373.71 / $1,373.71 / $2,263.94	Professional		$1,373.71	$1,373.71	$2,263.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $348.41	Professional		$32.34	$32.34	$348.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $208.98 / $395.42 / $677.04	Professional		$208.98	$395.42	$677.04
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $286.38 / $329.40 / $402.60	Professional		$286.38	$329.40	$402.60
United Facility/Professional Professional Modifier Low / Median / High Price $61.89 / $91.31 / $259.74	Professional		$61.89	$91.31	$259.74