Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $141.25 / $407.38	Professional		$39.81	$141.25	$407.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $660.69 / $660.69	Professional		$660.69	$660.69	$660.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $275.42 / $891.25	Professional		$58.88	$275.42	$891.25
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $331.13 / $691.83	Professional		$239.88	$331.13	$691.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $323.59 / $1,071.52	Professional		$93.33	$323.59	$1,071.52
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $354.81 / $478.63	Professional		$199.53	$354.81	$478.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $323.59 / $676.08	Professional		$251.19	$323.59	$676.08
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $2,041.74 / $2,041.74	Professional		$1,258.93	$2,041.74	$2,041.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $407.38 / $724.44	Professional		$85.11	$407.38	$724.44
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $295.12 / $363.08	Professional		$199.53	$295.12	$363.08
United Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $48.98 / $218.78	Professional		$33.11	$48.98	$218.78