Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.76 / $71.59 / $184.53	Professional		$57.76	$71.59	$184.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $82.53 / $82.53 / $82.53	Professional		$82.53	$82.53	$82.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.03 / $68.44 / $136.66	Professional		$51.03	$68.44	$136.66
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $42.38 / $60.90 / $130.94	Professional		$42.38	$60.90	$130.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.68 / $85.83 / $190.40	Professional		$54.68	$85.83	$190.40
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $24.20 / $115.17 / $149.72	Professional		$24.20	$115.17	$149.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $83.23 / $104.79 / $175.06	Professional		$83.23	$104.79	$175.06
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $447.41 / $447.41 / $738.90	Professional		$447.41	$447.41	$738.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.36 / $32.34 / $108.78	Professional		$27.36	$32.34	$108.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $57.94 / $98.47 / $194.16	Professional		$57.94	$98.47	$194.16
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $221.77 / $221.77 / $221.77	Professional		$221.77	$221.77	$221.77
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $34.71 / $62.48 / $128.07	Professional		$34.71	$62.48	$128.07
United Facility/Professional Professional Modifier Low / Median / High Price $48.45 / $66.42 / $153.54	Professional		$48.45	$66.42	$153.54