Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $181.97 / $602.56	Professional		$128.82	$181.97	$602.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $131.83 / $831.76	Professional		$125.89	$131.83	$831.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $173.78 / $457.09	Professional		$112.20	$173.78	$457.09
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $141.25 / $338.84	Professional		$104.71	$141.25	$338.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $169.82 / $354.81	Professional		$112.20	$169.82	$354.81
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $199.53 / $245.47	Professional		$181.97	$199.53	$245.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $181.97 / $338.84	Professional		$134.90	$181.97	$338.84
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $1,621.81	Professional		$1,621.81	$1,621.81	$1,621.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $181.97 / $181.97	Professional		$181.97	$181.97	$181.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $169.82 / $354.81	Professional		$112.20	$169.82	$354.81
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $457.09 / $457.09	Professional		$457.09	$457.09	$457.09
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $204.17	Professional		$147.91	$147.91	$204.17
United Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $131.83 / $295.12	Professional		$100.00	$131.83	$295.12