Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $144.54 / $398.11	Professional		$97.72	$144.54	$398.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $173.78 / $331.13	Professional		$112.20	$173.78	$331.13
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $169.82 / $331.13	Professional		$112.20	$169.82	$331.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $158.49 / $302.00	Professional		$112.20	$158.49	$302.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $138.04 / $234.42	Professional		$112.20	$138.04	$234.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $162.18 / $302.00	Professional		$100.00	$162.18	$302.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,230.27 / $1,230.27	Professional		$1,047.13	$1,230.27	$1,230.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $123.03 / $204.17	Professional		$123.03	$123.03	$204.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $162.18 / $302.00	Professional		$112.20	$162.18	$302.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $346.74 / $457.09	Professional		$346.74	$346.74	$457.09
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $165.96 / $239.88	Professional		$102.33	$165.96	$239.88
United Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $128.82 / $257.04	Professional		$91.20	$128.82	$257.04