Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.30 / $135.10 / $595.21	Professional		$112.30	$135.10	$595.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $129.11 / $194.74 / $395.81	Professional		$129.11	$194.74	$395.81
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $102.59 / $146.56 / $362.30	Professional		$102.59	$146.56	$362.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $119.97 / $166.68 / $392.62	Professional		$119.97	$166.68	$392.62
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $84.62 / $131.44 / $217.66	Professional		$84.62	$131.44	$217.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $113.79 / $177.33 / $301.45	Professional		$113.79	$177.33	$301.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $815.60 / $1,232.93 / $1,392.15	Professional		$815.60	$1,232.93	$1,392.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $122.94 / $180.34 / $392.62	Professional		$122.94	$180.34	$392.62
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $369.31 / $369.31 / $494.33	Professional		$369.31	$369.31	$494.33
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $84.62 / $121.85 / $219.77	Professional		$84.62	$121.85	$219.77
United Facility/Professional Professional Modifier Low / Median / High Price $114.87 / $177.53 / $490.64	Professional		$114.87	$177.53	$490.64