Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $57.54 / $398.11	Professional		$38.02	$57.54	$398.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $263.03 / $263.03	Professional		$263.03	$263.03	$263.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $389.05 / $2,398.83	Professional		$239.88	$389.05	$2,398.83
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $316.23 / $660.69	Professional		$229.09	$316.23	$660.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $309.03 / $1,023.29	Professional		$89.13	$309.03	$1,023.29
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $346.74 / $467.74	Professional		$190.55	$346.74	$467.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $309.03 / $741.31	Professional		$239.88	$309.03	$741.31
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,995.26 / $1,995.26	Professional		$1,202.26	$1,995.26	$1,995.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $302.00	Professional		$302.00	$302.00	$302.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $389.05 / $691.83	Professional		$83.18	$389.05	$691.83
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $281.84 / $346.74	Professional		$190.55	$281.84	$346.74
United Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $48.98 / $208.93	Professional		$33.11	$48.98	$208.93