Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $327.27 / $483.44 / $2,453.55	Professional		$327.27	$483.44	$2,453.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $359.42 / $532.62 / $1,081.33	Professional		$359.42	$532.62	$1,081.33
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $338.38 / $546.11 / $1,052.98	Professional		$338.38	$546.11	$1,052.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $376.05 / $592.42 / $1,216.38	Professional		$376.05	$592.42	$1,216.38
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $473.23 / $638.86 / $1,005.68	Professional		$473.23	$638.86	$1,005.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $402.39 / $620.04 / $1,154.67	Professional		$402.39	$620.04	$1,154.67
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,604.00 / $4,474.16 / $4,966.20	Professional		$3,604.00	$4,474.16	$4,966.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $384.93 / $635.09 / $1,393.98	Professional		$384.93	$635.09	$1,393.98
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,306.93 / $1,306.93 / $1,930.84	Professional		$1,306.93	$1,306.93	$1,930.84
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $430.20 / $677.96 / $1,016.94	Professional		$430.20	$677.96	$1,016.94
United Facility/Professional Professional Modifier Low / Median / High Price $430.64 / $569.05 / $1,443.97	Professional		$430.64	$569.05	$1,443.97