Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $361.20 / $477.94 / $1,168.85	Professional		$361.20	$477.94	$1,168.85
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $352.46 / $509.63 / $1,133.72	Professional		$352.46	$509.63	$1,133.72
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $348.95 / $498.50 / $1,037.40	Professional		$348.95	$498.50	$1,037.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $402.67 / $586.08 / $1,153.90	Professional		$402.67	$586.08	$1,153.90
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $182.80 / $578.86 / $801.77	Professional		$182.80	$578.86	$801.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $425.97 / $608.17 / $1,029.36	Professional		$425.97	$608.17	$1,029.36
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,989.00 / $5,098.60 / $5,098.60	Professional		$4,989.00	$5,098.60	$5,098.60
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 $404.02 / $613.83 / $1,211.33	Professional		$404.02	$613.83	$1,211.33
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,339.21 / $1,339.21 / $1,787.61	Professional		$1,339.21	$1,339.21	$1,787.61
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $237.64 / $406.74 / $742.58	Professional		$237.64	$406.74	$742.58
United Facility/Professional Professional Modifier Low / Median / High Price $415.26 / $553.67 / $1,240.60	Professional		$415.26	$553.67	$1,240.60