Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.40 / $144.82 / $720.00	Professional		$72.40	$144.82	$720.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $55.02 / $69.18 / $150.54	Professional		$55.02	$69.18	$150.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.75 / $121.90 / $221.19	Professional		$77.75	$121.90	$221.19
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $76.26 / $100.00 / $224.35	Professional		$76.26	$100.00	$224.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.54 / $100.54 / $204.68	Professional		$72.54	$100.54	$204.68
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $28.59 / $54.39 / $108.46	Professional		$28.59	$54.39	$108.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $61.89 / $81.84 / $175.14	Professional		$61.89	$81.84	$175.14
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $446.74 / $446.74 / $513.23	Professional		$446.74	$446.74	$513.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $86.65	Professional		$32.34	$32.34	$86.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $75.70 / $112.39 / $184.35	Professional		$75.70	$112.39	$184.35
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $226.98 / $226.98 / $226.98	Professional		$226.98	$226.98	$226.98
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $36.26 / $64.98 / $89.34	Professional		$36.26	$64.98	$89.34
United Facility/Professional Professional Modifier Low / Median / High Price $52.39 / $79.84 / $169.23	Professional		$52.39	$79.84	$169.23