Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $146.27 / $203.07 / $989.18	Professional		$146.27	$203.07	$989.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $188.25 / $233.70 / $469.53	Professional		$188.25	$233.70	$469.53
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $141.13 / $201.63 / $423.48	Professional		$141.13	$201.63	$423.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $168.12 / $241.95 / $473.40	Professional		$168.12	$241.95	$473.40
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $84.14 / $186.85 / $330.11	Professional		$84.14	$186.85	$330.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $162.61 / $246.22 / $450.00	Professional		$162.61	$246.22	$450.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,159.20 / $1,622.08 / $1,900.28	Professional		$1,159.20	$1,622.08	$1,900.28
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 $168.42 / $259.06 / $545.92	Professional		$168.42	$259.06	$545.92
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $537.45 / $537.45 / $738.21	Professional		$537.45	$537.45	$738.21
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $117.80 / $169.00 / $305.61	Professional		$117.80	$169.00	$305.61
United Facility/Professional Professional Modifier Low / Median / High Price $170.02 / $223.30 / $506.67	Professional		$170.02	$223.30	$506.67