Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $148.15 / $205.55 / $802.95	Professional		$148.15	$205.55	$802.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $145.40 / $225.54 / $480.58	Professional		$145.40	$225.54	$480.58
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $140.66 / $205.41 / $458.88	Professional		$140.66	$205.41	$458.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $161.97 / $240.77 / $536.01	Professional		$161.97	$240.77	$536.01
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $74.09 / $188.00 / $345.24	Professional		$74.09	$188.00	$345.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $161.05 / $234.42 / $421.96	Professional		$161.05	$234.42	$421.96
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,141.59 / $1,544.80 / $1,806.45	Professional		$1,141.59	$1,544.80	$1,806.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $303.04	Professional		$32.34	$32.34	$303.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $168.57 / $269.63 / $545.16	Professional		$168.57	$269.63	$545.16
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $502.25 / $502.25 / $707.82	Professional		$502.25	$502.25	$707.82
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $74.09 / $151.86 / $295.11	Professional		$74.09	$151.86	$295.11
United Facility/Professional Professional Modifier Low / Median / High Price $166.02 / $227.29 / $535.48	Professional		$166.02	$227.29	$535.48