Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $154.88 / $707.95	Professional		$123.03	$154.88	$707.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $223.87 / $446.68	Professional		$162.18	$223.87	$446.68
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $199.53 / $380.19	Professional		$134.90	$199.53	$380.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $169.82 / $380.19	Professional		$131.83	$169.82	$380.19
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $131.83 / $199.53	Professional		$128.82	$131.83	$199.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $144.54 / $269.15	Professional		$114.82	$144.54	$269.15
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $2,630.27 / $2,630.27	Professional		$2,630.27	$2,630.27	$2,630.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $190.55 / $190.55	Professional		$190.55	$190.55	$190.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $169.82 / $371.54	Professional		$128.82	$169.82	$371.54
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $416.87 / $416.87	Professional		$416.87	$416.87	$416.87
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $181.97 / $281.84	Professional		$117.49	$181.97	$281.84
United Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $147.91 / $371.54	Professional		$107.15	$147.91	$371.54