Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $209.53 / $260.56 / $1,033.00	Professional		$209.53	$260.56	$1,033.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $263.64 / $473.49 / $517.46	Professional		$263.64	$473.49	$517.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $263.43 / $390.19 / $802.77	Professional		$263.43	$390.19	$802.77
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $185.39 / $277.37 / $665.78	Professional		$185.39	$277.37	$665.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.09 / $199.09 / $267.56	Professional		$199.09	$199.09	$267.56
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $209.41 / $306.44 / $413.69	Professional		$209.41	$306.44	$413.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $230.09 / $307.02 / $583.16	Professional		$230.09	$307.02	$583.16
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,543.86 / $1,543.86 / $1,894.80	Professional		$1,543.86	$1,543.86	$1,894.80
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 $199.09 / $199.09 / $480.48	Professional		$199.09	$199.09	$480.48
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $874.61 / $874.61 / $874.61	Professional		$874.61	$874.61	$874.61
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $247.90 / $293.18 / $356.00	Professional		$247.90	$293.18	$356.00
United Facility/Professional Professional Modifier Low / Median / High Price $161.78 / $328.41 / $763.41	Professional		$161.78	$328.41	$763.41