Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.71 / $82.81 / $389.69	Professional		$61.71	$82.81	$389.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $47.33 / $61.95 / $129.50	Professional		$47.33	$61.95	$129.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.48 / $105.50 / $187.95	Professional		$70.48	$105.50	$187.95
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $78.84 / $101.57 / $220.24	Professional		$78.84	$101.57	$220.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.23 / $86.48 / $177.03	Professional		$65.23	$86.48	$177.03
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $17.96 / $34.17 / $93.12	Professional		$17.96	$34.17	$93.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $53.24 / $70.40 / $163.00	Professional		$53.24	$70.40	$163.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $374.39 / $375.20 / $442.80	Professional		$374.39	$375.20	$442.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $73.98	Professional		$32.34	$32.34	$73.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $66.62 / $96.73 / $159.35	Professional		$66.62	$96.73	$159.35
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $195.77 / $195.77 / $195.77	Professional		$195.77	$195.77	$195.77
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $22.78 / $55.78 / $76.69	Professional		$22.78	$55.78	$76.69
United Facility/Professional Professional Modifier Low / Median / High Price $46.48 / $68.70 / $149.40	Professional		$46.48	$68.70	$149.40