Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.53 / $222.10 / $731.32	Professional		$134.53	$222.10	$731.32
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $109.95 / $129.54 / $306.81	Professional		$109.95	$129.54	$306.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $172.79 / $248.68 / $439.34	Professional		$172.79	$248.68	$439.34
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $165.31 / $249.16 / $537.41	Professional		$165.31	$249.16	$537.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $148.74 / $204.34 / $423.97	Professional		$148.74	$204.34	$423.97
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $28.59 / $54.39 / $222.05	Professional		$28.59	$54.39	$222.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $126.14 / $166.79 / $357.41	Professional		$126.14	$166.79	$357.41
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $907.92 / $907.92 / $1,044.08	Professional		$907.92	$907.92	$1,044.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $175.21	Professional		$32.34	$32.34	$175.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $154.08 / $230.93 / $379.59	Professional		$154.08	$230.93	$379.59
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $468.44 / $468.44 / $468.44	Professional		$468.44	$468.44	$468.44
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $36.26 / $133.02 / $182.91	Professional		$36.26	$133.02	$182.91
United Facility/Professional Professional Modifier Low / Median / High Price $106.68 / $161.66 / $364.35	Professional		$106.68	$161.66	$364.35