Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.00 / $224.77 / $874.86	Professional		$121.00	$224.77	$874.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $139.69 / $207.40 / $404.52	Professional		$139.69	$207.40	$404.52
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $135.91 / $205.81 / $449.24	Professional		$135.91	$205.81	$449.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $135.91 / $247.49 / $643.69	Professional		$135.91	$247.49	$643.69
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $68.13 / $160.35 / $345.52	Professional		$68.13	$160.35	$345.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $142.32 / $259.77 / $465.17	Professional		$142.32	$259.77	$465.17
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,118.00 / $1,772.32 / $2,080.58	Professional		$1,118.00	$1,772.32	$2,080.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $137.94 / $258.76 / $631.84	Professional		$137.94	$258.76	$631.84
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $423.03 / $423.03 / $798.10	Professional		$423.03	$423.03	$798.10
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $68.13 / $120.29 / $349.14	Professional		$68.13	$120.29	$349.14
United Facility/Professional Professional Modifier Low / Median / High Price $179.66 / $279.62 / $884.26	Professional		$179.66	$279.62	$884.26