Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.64 / $141.38 / $581.80	Professional		$99.64	$141.38	$581.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $80.14 / $171.58 / $516.82	Professional		$80.14	$171.58	$516.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $124.37 / $191.33 / $329.52	Professional		$124.37	$191.33	$329.52
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $116.94 / $176.35 / $390.63	Professional		$116.94	$176.35	$390.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.75 / $155.87 / $330.82	Professional		$116.75	$155.87	$330.82
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $17.96 / $34.17 / $171.63	Professional		$17.96	$34.17	$171.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $97.61 / $129.07 / $277.14	Professional		$97.61	$129.07	$277.14
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $671.69 / $671.69 / $809.10	Professional		$671.69	$671.69	$809.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $135.66	Professional		$32.34	$32.34	$135.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $119.48 / $177.85 / $292.82	Professional		$119.48	$177.85	$292.82
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $361.00 / $361.00 / $361.00	Professional		$361.00	$361.00	$361.00
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $22.78 / $102.81 / $141.36	Professional		$22.78	$102.81	$141.36
United Facility/Professional Professional Modifier Low / Median / High Price $85.40 / $123.75 / $269.72	Professional		$85.40	$123.75	$269.72