Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.43 / $180.43 / $717.81	Professional		$112.43	$180.43	$717.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $121.28 / $198.70 / $453.73	Professional		$121.28	$198.70	$453.73
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $115.35 / $169.44 / $397.02	Professional		$115.35	$169.44	$397.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $136.77 / $229.63 / $525.00	Professional		$136.77	$229.63	$525.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $149.40 / $180.05 / $377.57	Professional		$149.40	$180.05	$377.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $259.11 / $469.00	Professional		$131.83	$259.11	$469.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $953.83 / $1,806.72 / $2,112.60	Professional		$953.83	$1,806.72	$2,112.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $212.92	Professional		$32.34	$32.34	$212.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $138.91 / $259.63 / $612.00	Professional		$138.91	$259.63	$612.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $423.66 / $423.66 / $781.90	Professional		$423.66	$423.66	$781.90
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $120.64 / $189.21 / $349.69	Professional		$120.64	$189.21	$349.69
United Facility/Professional Professional Modifier Low / Median / High Price $172.07 / $241.09 / $575.44	Professional		$172.07	$241.09	$575.44