Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $136.53 / $230.00 / $871.35	Professional		$136.53	$230.00	$871.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $126.73 / $192.15 / $459.20	Professional		$126.73	$192.15	$459.20
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $151.18 / $230.58 / $496.57	Professional		$151.18	$230.58	$496.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $149.88 / $255.57 / $633.62	Professional		$149.88	$255.57	$633.62
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $58.82 / $176.67 / $321.56	Professional		$58.82	$176.67	$321.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $154.44 / $251.50 / $440.13	Professional		$154.44	$251.50	$440.13
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,044.96 / $1,646.24 / $1,930.80	Professional		$1,044.96	$1,646.24	$1,930.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $150.50 / $271.27 / $633.13	Professional		$150.50	$271.27	$633.13
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $462.16 / $462.16 / $767.51	Professional		$462.16	$462.16	$767.51
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $58.82 / $103.85 / $324.95	Professional		$58.82	$103.85	$324.95
United Facility/Professional Professional Modifier Low / Median / High Price $183.40 / $268.55 / $774.02	Professional		$183.40	$268.55	$774.02