Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.75 / $132.22 / $396.76	Professional		$65.75	$132.22	$396.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $126.73 / $126.73 / $126.73	Professional		$126.73	$126.73	$126.73
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $99.52 / $154.40 / $283.75	Professional		$99.52	$154.40	$283.75
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $102.44 / $169.65 / $387.48	Professional		$102.44	$169.65	$387.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.09 / $136.30 / $259.17	Professional		$78.09	$136.30	$259.17
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $90.88 / $124.30 / $186.45	Professional		$90.88	$124.30	$186.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $70.81 / $92.24 / $182.00	Professional		$70.81	$92.24	$182.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $781.40 / $821.86 / $844.38	Professional		$781.40	$821.86	$844.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $67.03	Professional		$32.34	$32.34	$67.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.22 / $141.77 / $228.07	Professional		$79.22	$141.77	$228.07
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $246.17 / $246.17 / $246.17	Professional		$246.17	$246.17	$246.17
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $73.48 / $124.30 / $339.21	Professional		$73.48	$124.30	$339.21
United Facility/Professional Professional Modifier Low / Median / High Price $60.32 / $112.59 / $254.06	Professional		$60.32	$112.59	$254.06