Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.68 / $113.83 / $161.31	Professional		$65.68	$113.83	$161.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $114.30 / $114.30 / $114.30	Professional		$114.30	$114.30	$114.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.89 / $130.66 / $142.87	Professional		$54.89	$130.66	$142.87
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $361.12 / $527.42	Professional		$100.00	$361.12	$527.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.29 / $58.29 / $58.29	Professional		$58.29	$58.29	$58.29
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $142.87 / $157.16 / $171.44	Professional		$142.87	$157.16	$171.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $128.58 / $128.58 / $274.00	Professional		$128.58	$128.58	$274.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $240.02 / $290.02 / $678.63	Facility		$240.02	$290.02	$678.63
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $878.22 / $878.22 / $1,071.53	Professional		$878.22	$878.22	$1,071.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $97.82 / $142.87 / $164.30	Facility		$97.82	$142.87	$164.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $58.29 / $58.29 / $167.42	Professional		$58.29	$58.29	$167.42
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $269.64 / $269.64 / $269.64	Professional		$269.64	$269.64	$269.64
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $114.30 / $114.30 / $114.30	Professional		$114.30	$114.30	$114.30
United Facility/Professional Professional Modifier Low / Median / High Price $54.39 / $60.58 / $160.01	Professional		$54.39	$60.58	$160.01