Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.19 / $69.87 / $293.00	Professional		$44.19	$69.87	$293.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $112.70 / $112.70 / $112.70	Professional		$112.70	$112.70	$112.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.23 / $87.33 / $216.22	Professional		$54.23	$87.33	$216.22
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $61.82 / $88.03 / $168.73	Professional		$61.82	$88.03	$168.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.34 / $79.88 / $187.85	Professional		$53.34	$79.88	$187.85
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $48.40 / $58.33 / $78.75	Professional		$48.40	$58.33	$78.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $42.86 / $54.40 / $174.00	Professional		$42.86	$54.40	$174.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $980.40 / $980.40 / $980.40	Professional		$980.40	$980.40	$980.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $63.65	Professional		$32.34	$32.34	$63.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $54.76 / $82.46 / $142.47	Professional		$54.76	$82.46	$142.47
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $153.90 / $153.90 / $153.90	Professional		$153.90	$153.90	$153.90
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $47.16 / $62.93 / $82.29	Professional		$47.16	$62.93	$82.29
United Facility/Professional Professional Modifier Low / Median / High Price $37.99 / $60.18 / $127.59	Professional		$37.99	$60.18	$127.59