Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.38 / $203.17 / $741.00	Professional		$138.38	$203.17	$741.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $124.52 / $165.29 / $302.85	Professional		$124.52	$165.29	$302.85
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $159.96 / $265.07 / $476.63	Professional		$159.96	$265.07	$476.63
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $149.69 / $222.43 / $500.40	Professional		$149.69	$222.43	$500.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.71 / $216.84 / $429.38	Professional		$151.71	$216.84	$429.38
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $46.19 / $87.87 / $219.77	Professional		$46.19	$87.87	$219.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $124.52 / $164.64 / $352.79	Professional		$124.52	$164.64	$352.79
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $976.46 / $976.46 / $1,027.65	Professional		$976.46	$976.46	$1,027.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $172.22	Professional		$32.34	$32.34	$172.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $155.07 / $237.94 / $384.33	Professional		$155.07	$237.94	$384.33
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $468.79 / $468.79 / $468.79	Professional		$468.79	$468.79	$468.79
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $58.58 / $131.66 / $181.04	Professional		$58.58	$131.66	$181.04
United Facility/Professional Professional Modifier Low / Median / High Price $110.60 / $165.31 / $353.86	Professional		$110.60	$165.31	$353.86