Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $228.80 / $274.31 / $1,075.02	Professional		$228.80	$274.31	$1,075.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $207.37 / $519.78 / $567.41	Professional		$207.37	$519.78	$567.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $282.72 / $442.29 / $867.64	Professional		$282.72	$442.29	$867.64
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $208.97 / $312.64 / $744.77	Professional		$208.97	$312.64	$744.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.98 / $199.98 / $267.93	Professional		$199.98	$199.98	$267.93
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $228.02 / $307.82 / $415.56	Professional		$228.02	$307.82	$415.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $231.12 / $308.41 / $585.79	Professional		$231.12	$308.41	$585.79
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,548.19 / $1,548.19 / $1,903.28	Professional		$1,548.19	$1,548.19	$1,903.28
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 $199.98 / $199.98 / $517.65	Professional		$199.98	$199.98	$517.65
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $875.81 / $875.81 / $875.81	Professional		$875.81	$875.81	$875.81
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $249.02 / $319.22 / $387.63	Professional		$249.02	$319.22	$387.63
United Facility/Professional Professional Modifier Low / Median / High Price $146.65 / $328.86 / $764.46	Professional		$146.65	$328.86	$764.46