Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.92 / $107.12 / $428.49	Professional		$89.92	$107.12	$428.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.76 / $135.60 / $279.56	Professional		$100.76	$135.60	$279.56
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $86.56 / $116.38 / $265.33	Professional		$86.56	$116.38	$265.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.87 / $141.77 / $288.25	Professional		$104.87	$141.77	$288.25
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $133.19 / $165.30 / $207.70	Professional		$133.19	$165.30	$207.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $111.22 / $153.85 / $264.58	Professional		$111.22	$153.85	$264.58
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $783.12 / $907.58 / $1,034.84	Professional		$783.12	$907.58	$1,034.84
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 $107.32 / $151.69 / $290.27	Professional		$107.32	$151.69	$290.27
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $334.54 / $334.54 / $385.03	Professional		$334.54	$334.54	$385.03
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $121.10 / $171.00 / $297.54	Professional		$121.10	$171.00	$297.54
United Facility/Professional Professional Modifier Low / Median / High Price $89.37 / $116.55 / $271.83	Professional		$89.37	$116.55	$271.83