Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $154.88 / $707.95	Professional		$120.23	$154.88	$707.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $194.98 / $380.19	Professional		$134.90	$194.98	$380.19
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $194.98 / $389.05	Professional		$134.90	$194.98	$389.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $181.97 / $346.74	Professional		$138.04	$181.97	$346.74
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $158.49 / $229.09	Professional		$89.13	$158.49	$229.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $169.82 / $309.03	Professional		$123.03	$169.82	$309.03
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,288.25 / $1,288.25	Professional		$1,122.02	$1,288.25	$1,288.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $218.78	Professional		$128.82	$128.82	$218.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $190.55 / $346.74	Professional		$134.90	$190.55	$346.74
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $426.58 / $512.86	Professional		$426.58	$426.58	$512.86
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $151.36 / $190.55	Professional		$112.20	$151.36	$190.55
United Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $147.91 / $295.12	Professional		$107.15	$147.91	$295.12