Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $188.99 / $206.17 / $1,011.44	Professional		$188.99	$206.17	$1,011.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $225.10 / $288.45 / $580.41	Professional		$225.10	$288.45	$580.41
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $258.30 / $303.88 / $374.06	Professional	50	$258.30	$303.88	$374.06
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $152.41 / $240.24 / $576.51	Professional		$152.41	$240.24	$576.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $192.73 / $256.86 / $762.04	Professional		$192.73	$256.86	$762.04
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $64.41 / $97.46 / $310.77	Professional		$64.41	$97.46	$310.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $192.03 / $253.23 / $448.29	Professional		$192.03	$253.23	$448.29
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,355.44 / $1,418.24 / $1,562.63	Professional		$1,355.44	$1,418.24	$1,562.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $192.03 / $260.00 / $574.04	Professional		$192.03	$260.00	$574.04
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $627.57 / $627.57 / $627.57	Professional		$627.57	$627.57	$627.57
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $64.41 / $92.75 / $255.86	Professional		$64.41	$92.75	$255.86
United Facility/Professional Professional Modifier Low / Median / High Price $152.51 / $231.36 / $697.78	Professional		$152.51	$231.36	$697.78