Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $269.15 / $891.25	Professional		$117.49	$269.15	$891.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $190.55 / $436.52	Professional		$125.89	$190.55	$436.52
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $251.19 / $549.54	Professional		$128.82	$251.19	$549.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $251.19 / $549.54	Professional		$125.89	$251.19	$549.54
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $134.90 / $380.19	Professional		$61.66	$134.90	$380.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $275.42 / $489.78	Professional		$117.49	$275.42	$489.78
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,238.72 / $2,238.72	Professional		$1,905.46	$2,238.72	$2,238.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $218.78 / $363.08	Professional		$218.78	$218.78	$363.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $251.19 / $588.84	Professional		$123.03	$251.19	$588.84
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $389.05 / $851.14	Professional		$389.05	$389.05	$851.14
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $104.71 / $295.12	Professional		$64.57	$104.71	$295.12
United Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $208.93 / $501.19	Professional		$102.33	$208.93	$501.19