Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $165.96 / $549.54	Professional		$123.03	$165.96	$549.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $107.15 / $120.23	Professional		$91.20	$107.15	$120.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $213.80 / $389.05	Professional		$141.25	$213.80	$389.05
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $275.42 / $501.19	Professional		$190.55	$275.42	$501.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $190.55 / $371.54	Professional		$138.04	$190.55	$371.54
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $19.95 / $257.04	Professional		$15.85	$19.95	$257.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $186.21 / $346.74	Professional		$147.91	$186.21	$346.74
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,000.00 / $1,000.00	Professional		$891.25	$1,000.00	$1,000.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $165.96 / $165.96	Professional		$165.96	$165.96	$165.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $199.53 / $371.54	Professional		$141.25	$199.53	$371.54
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $489.78 / $489.78	Professional		$489.78	$489.78	$489.78
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $22.91 / $181.97	Professional		$16.60	$22.91	$181.97
United Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $154.88 / $295.12	Professional		$107.15	$154.88	$295.12