Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $112.20 / $478.63	Professional		$75.86	$112.20	$478.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $165.96 / $338.84	Professional		$75.86	$165.96	$338.84
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $125.89 / $288.40	Professional		$97.72	$125.89	$288.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $147.91 / $331.13	Professional		$117.49	$147.91	$331.13
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $112.20 / $223.87	Professional		$74.13	$112.20	$223.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $147.91 / $257.04	Professional		$125.89	$147.91	$257.04
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,096.48 / $1,096.48	Professional		$831.76	$1,096.48	$1,096.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $83.18 / $190.55	Professional		$83.18	$83.18	$190.55
Optum Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $30.90 / $39.81	Professional		$30.90	$30.90	$39.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $147.91 / $316.23	Professional		$112.20	$147.91	$316.23
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $371.54 / $371.54	Professional		$371.54	$371.54	$371.54
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $128.82 / $151.36	Professional		$74.13	$128.82	$151.36
United Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $123.03 / $263.03	Professional		$89.13	$123.03	$263.03