Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $138.04 / $524.81	Professional		$112.20	$138.04	$524.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $190.55 / $389.05	Professional		$114.82	$190.55	$389.05
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $162.18 / $338.84	Professional		$117.49	$162.18	$338.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $173.78 / $363.08	Professional		$123.03	$173.78	$363.08
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $123.03 / $190.55	Professional		$91.20	$123.03	$190.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $138.04 / $239.88	Professional		$114.82	$138.04	$239.88
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,023.29 / $1,023.29	Professional		$776.25	$1,023.29	$1,023.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $134.90 / $173.78	Professional		$104.71	$134.90	$173.78
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 $120.23 / $165.96 / $323.59	Professional		$120.23	$165.96	$323.59
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $426.58 / $426.58	Professional		$426.58	$426.58	$426.58
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $134.90 / $181.97	Professional		$100.00	$134.90	$181.97
United Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $144.54 / $295.12	Professional		$100.00	$144.54	$295.12