Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $129.56 / $156.18 / $581.00	Professional		$129.56	$156.18	$581.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $105.00 / $125.63 / $246.19	Professional		$105.00	$125.63	$246.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.50 / $153.01 / $365.66	Professional		$107.50	$153.01	$365.66
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $88.72 / $122.36 / $280.01	Professional		$88.72	$122.36	$280.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.58 / $172.96 / $423.88	Professional		$114.58	$172.96	$423.88
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $180.99 / $199.09 / $244.34	Professional		$180.99	$199.09	$244.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $132.76 / $182.87 / $339.27	Professional		$132.76	$182.87	$339.27
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,624.00 / $1,624.00 / $1,624.00	Professional		$1,624.00	$1,624.00	$1,624.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $117.42 / $180.06 / $358.97	Professional		$117.42	$180.06	$358.97
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $452.65 / $452.65 / $452.65	Professional		$452.65	$452.65	$452.65
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $146.41 / $164.72 / $201.32	Professional		$146.41	$164.72	$201.32
United Facility/Professional Professional Modifier Low / Median / High Price $98.02 / $131.94 / $300.52	Professional		$98.02	$131.94	$300.52