Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.56 / $112.43 / $591.05	Professional		$72.56	$112.43	$591.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $61.99 / $81.36 / $169.63	Professional		$61.99	$81.36	$169.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.93 / $122.93 / $224.74	Professional		$67.93	$122.93	$224.74
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $58.96 / $79.72 / $179.82	Professional		$58.96	$79.72	$179.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.66 / $100.76 / $229.72	Professional		$66.66	$100.76	$229.72
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $10.66 / $20.28 / $122.30	Professional		$10.66	$20.28	$122.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $69.73 / $92.21 / $163.06	Professional		$69.73	$92.21	$163.06
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $484.75 / $484.75 / $579.53	Professional		$484.75	$484.75	$579.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $97.35	Professional		$32.34	$32.34	$97.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $69.98 / $119.03 / $205.98	Professional		$69.98	$119.03	$205.98
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $263.04 / $263.04 / $263.04	Professional		$263.04	$263.04	$263.04
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $13.52 / $73.26 / $100.73	Professional		$13.52	$73.26	$100.73
United Facility/Professional Professional Modifier Low / Median / High Price $58.80 / $81.18 / $183.64	Professional		$58.80	$81.18	$183.64