Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.21 / $244.00 / $1,002.97	Professional		$147.21	$244.00	$1,002.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $189.35 / $239.42 / $481.74	Professional		$189.35	$239.42	$481.74
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $155.49 / $223.64 / $447.03	Professional		$155.49	$223.64	$447.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $175.08 / $272.45 / $533.64	Professional		$175.08	$272.45	$533.64
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $121.74 / $214.28 / $388.54	Professional		$121.74	$214.28	$388.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $167.32 / $281.52 / $497.21	Professional		$167.32	$281.52	$497.21
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,188.80 / $1,859.28 / $2,174.55	Professional		$1,188.80	$1,859.28	$2,174.55
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 $177.93 / $290.68 / $625.63	Professional		$177.93	$290.68	$625.63
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $539.97 / $539.97 / $864.55	Professional		$539.97	$539.97	$864.55
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $157.36 / $216.37 / $359.84	Professional		$157.36	$216.37	$359.84
United Facility/Professional Professional Modifier Low / Median / High Price $197.37 / $259.24 / $573.90	Professional		$197.37	$259.24	$573.90