Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.36 / $161.85 / $390.23	Professional		$127.36	$161.85	$390.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $120.89 / $120.89 / $120.89	Professional		$120.89	$120.89	$120.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $146.18 / $232.18 / $426.84	Professional		$146.18	$232.18	$426.84
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $146.63 / $221.13 / $504.75	Professional		$146.63	$221.13	$504.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $142.22 / $195.27 / $433.56	Professional		$142.22	$195.27	$433.56
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $16.53 / $24.80 / $213.15	Professional		$16.53	$24.80	$213.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $120.89 / $159.84 / $309.00	Professional		$120.89	$159.84	$309.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $886.02 / $886.02 / $1,000.50	Professional		$886.02	$886.02	$1,000.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $167.76	Professional		$32.34	$32.34	$167.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $147.11 / $224.00 / $386.30	Professional		$147.11	$224.00	$386.30
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $490.43 / $490.43 / $490.43	Professional		$490.43	$490.43	$490.43
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $16.53 / $127.69 / $175.57	Professional		$16.53	$127.69	$175.57
United Facility/Professional Professional Modifier Low / Median / High Price $107.38 / $156.28 / $363.21	Professional		$107.38	$156.28	$363.21