Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $223.87 / $954.99	Professional		$154.88	$223.87	$954.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $245.47 / $501.19	Professional		$173.78	$245.47	$501.19
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $245.47 / $489.78	Professional		$158.49	$245.47	$489.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $245.47 / $467.74	Professional		$165.96	$245.47	$467.74
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $190.55 / $346.74	Professional		$85.11	$190.55	$346.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $245.47 / $446.68	Professional		$151.36	$245.47	$446.68
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,905.46 / $1,905.46	Professional		$1,621.81	$1,905.46	$1,905.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $190.55 / $316.23	Professional		$190.55	$190.55	$316.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $251.19 / $489.78	Professional		$165.96	$251.19	$489.78
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $537.03 / $741.31	Professional		$537.03	$537.03	$741.31
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $151.36 / $251.19	Professional		$107.15	$151.36	$251.19
United Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $199.53 / $407.38	Professional		$141.25	$199.53	$407.38