Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.67 / $118.41 / $200.44	Professional		$42.67	$118.41	$200.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.67 / $104.77 / $232.11	Professional		$40.67	$104.77	$232.11
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $98.37 / $205.86	Professional		$37.15	$98.37	$205.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.68 / $154.11 / $382.98	Professional		$48.68	$154.11	$382.98
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $176.39 / $194.03 / $238.13	Professional		$176.39	$194.03	$238.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $131.16 / $172.80 / $273.39	Professional		$131.16	$172.80	$273.39
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $863.00 / $1,004.88 / $1,109.93	Professional		$863.00	$1,004.88	$1,109.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $192.94	Professional		$32.34	$32.34	$192.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $49.58 / $178.87 / $424.54	Professional		$49.58	$178.87	$424.54
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $530.41 / $530.41 / $530.41	Professional		$530.41	$530.41	$530.41
United Facility/Professional Professional Modifier Low / Median / High Price $102.24 / $160.96 / $402.35	Professional		$102.24	$160.96	$402.35