Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.92 / $138.19 / $433.39	Professional		$108.92	$138.19	$433.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $115.44 / $182.89 / $377.17	Professional		$115.44	$182.89	$377.17
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $136.38 / $227.09	Professional		$100.00	$136.38	$227.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.93 / $173.59 / $385.92	Professional		$123.93	$173.59	$385.92
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $92.14 / $121.72 / $188.25	Professional		$92.14	$121.72	$188.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $114.41 / $134.69 / $264.00	Professional		$114.41	$134.69	$264.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $784.05 / $784.05 / $1,017.38	Professional		$784.05	$784.05	$1,017.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $105.56 / $174.91	Professional		$32.34	$105.56	$174.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $125.98 / $175.28 / $363.29	Professional		$125.98	$175.28	$363.29
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $426.26 / $426.26 / $426.26	Professional		$426.26	$426.26	$426.26
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $99.81 / $137.02 / $182.58	Professional		$99.81	$137.02	$182.58
United Facility/Professional Professional Modifier Low / Median / High Price $101.64 / $144.88 / $363.33	Professional		$101.64	$144.88	$363.33