Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $234.42 / $724.44	Professional		$128.82	$234.42	$724.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $128.82 / $213.80	Professional		$97.72	$128.82	$213.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $239.88 / $407.38	Professional		$147.91	$239.88	$407.38
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $309.03 / $549.54	Professional		$213.80	$309.03	$549.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $194.98 / $371.54	Professional		$144.54	$194.98	$371.54
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $43.65 / $239.88	Professional		$28.84	$43.65	$239.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $169.82 / $346.74	Professional		$138.04	$169.82	$346.74
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,047.13 / $1,047.13	Professional		$912.01	$1,047.13	$1,047.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $173.78	Professional		$173.78	$173.78	$173.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $204.17 / $371.54	Professional		$144.54	$204.17	$371.54
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $467.74 / $467.74	Professional		$467.74	$467.74	$467.74
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $51.29 / $169.82	Professional		$36.31	$51.29	$169.82
United Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $158.49 / $295.12	Professional		$107.15	$158.49	$295.12