Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.38 / $110.96 / $374.92	Professional		$75.38	$110.96	$374.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.51 / $149.03 / $320.97	Professional		$102.51	$149.03	$320.97
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $79.58 / $109.71 / $181.84	Professional		$79.58	$109.71	$181.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $113.00 / $148.38 / $351.14	Professional		$113.00	$148.38	$351.14
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $74.98 / $159.88 / $199.85	Professional		$74.98	$159.88	$199.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $122.57 / $144.19 / $255.00	Professional		$122.57	$144.19	$255.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $838.72 / $838.72 / $1,093.88	Professional		$838.72	$838.72	$1,093.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $82.47 / $188.84	Professional		$32.34	$82.47	$188.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $113.44 / $152.75 / $326.77	Professional		$113.44	$152.75	$326.77
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $372.66 / $372.66 / $372.66	Professional		$372.66	$372.66	$372.66
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $97.47 / $141.84 / $177.77	Professional		$97.47	$141.84	$177.77
United Facility/Professional Professional Modifier Low / Median / High Price $87.64 / $117.62 / $289.45	Professional		$87.64	$117.62	$289.45