Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $133.75 / $222.21 / $1,136.45	Professional		$133.75	$222.21	$1,136.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $202.50 / $269.88 / $583.46	Professional		$202.50	$269.88	$583.46
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $162.31 / $250.23 / $578.35	Professional		$162.31	$250.23	$578.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.70 / $254.60 / $582.85	Professional		$170.70	$254.60	$582.85
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $115.98 / $238.92 / $322.54	Professional		$115.98	$238.92	$322.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $179.02 / $236.35 / $378.16	Professional		$179.02	$236.35	$378.16
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,317.18 / $1,317.18 / $1,527.53	Professional		$1,317.18	$1,317.18	$1,527.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $170.34 / $254.60 / $578.37	Professional		$170.34	$254.60	$578.37
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $653.91 / $653.91 / $653.91	Professional		$653.91	$653.91	$653.91
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $173.96 / $217.39 / $282.80	Professional		$173.96	$217.39	$282.80
United Facility/Professional Professional Modifier Low / Median / High Price $165.41 / $219.70 / $603.91	Professional		$165.41	$219.70	$603.91