Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $122.08 / $129.30 / $678.67	Professional		$122.08	$129.30	$678.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $158.33 / $213.08 / $404.60	Professional		$158.33	$213.08	$404.60
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $148.41 / $365.87	Professional		$100.00	$148.41	$365.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.60 / $171.64 / $521.42	Professional		$130.60	$171.64	$521.42
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $131.41 / $164.14 / $248.60	Professional		$131.41	$164.14	$248.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $132.05 / $171.40 / $301.66	Professional		$132.05	$171.40	$301.66
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,654.97 / $2,654.97 / $2,654.97	Professional		$2,654.97	$2,654.97	$2,654.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $130.60 / $175.47 / $378.60	Professional		$130.60	$175.47	$378.60
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $421.11 / $421.11 / $421.11	Professional		$421.11	$421.11	$421.11
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $131.41 / $165.73 / $248.60	Professional		$131.41	$165.73	$248.60
United Facility/Professional Professional Modifier Low / Median / High Price $105.90 / $150.44 / $432.05	Professional		$105.90	$150.44	$432.05