Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $181.97 / $645.65	Professional		$141.25	$181.97	$645.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $204.17 / $436.52	Professional		$144.54	$204.17	$436.52
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $213.80 / $416.87	Professional		$151.36	$213.80	$416.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $213.80 / $407.38	Professional		$154.88	$213.80	$407.38
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $194.98 / $302.00	Professional		$66.07	$194.98	$302.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $223.87 / $389.05	Professional		$162.18	$223.87	$389.05
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,584.89 / $1,584.89	Professional		$1,348.96	$1,584.89	$1,584.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $154.88 / $257.04	Professional		$154.88	$154.88	$257.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $218.78 / $416.87	Professional		$154.88	$218.78	$416.87
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $489.78 / $588.84	Professional		$489.78	$489.78	$588.84
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $112.20 / $218.78	Professional		$69.18	$112.20	$218.78
United Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $169.82 / $338.84	Professional		$123.03	$169.82	$338.84