Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.07 / $146.69 / $610.90	Professional		$93.07	$146.69	$610.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $103.87 / $148.00 / $288.49	Professional		$103.87	$148.00	$288.49
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $99.37 / $134.33 / $321.83	Professional		$99.37	$134.33	$321.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.07 / $168.09 / $407.58	Professional		$105.07	$168.09	$407.58
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $49.52 / $126.99 / $210.38	Professional		$49.52	$126.99	$210.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $107.73 / $167.49 / $289.17	Professional		$107.73	$167.49	$289.17
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $753.92 / $1,087.92 / $1,275.53	Professional		$753.92	$1,087.92	$1,275.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $105.35 / $177.56 / $396.17	Professional		$105.35	$177.56	$396.17
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $325.00 / $325.00 / $495.71	Professional		$325.00	$325.00	$495.71
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $49.52 / $87.42 / $212.56	Professional		$49.52	$87.42	$212.56
United Facility/Professional Professional Modifier Low / Median / High Price $111.65 / $165.36 / $455.14	Professional		$111.65	$165.36	$455.14