Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $181.97 / $691.83	Professional		$138.04	$181.97	$691.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $346.74 / $588.84	Professional		$234.42	$346.74	$588.84
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $363.08 / $741.31	Professional		$263.03	$363.08	$741.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $575.44 / $1,122.02	Professional		$190.55	$575.44	$1,122.02
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $194.98 / $263.03	Professional		$79.43	$194.98	$263.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $173.78 / $575.44	Professional		$134.90	$173.78	$575.44
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $1,348.96	Professional		$1,348.96	$1,348.96	$1,348.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $190.55 / $190.55	Professional		$190.55	$190.55	$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 $162.18 / $316.23 / $575.44	Professional		$162.18	$316.23	$575.44
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $562.34 / $562.34	Professional		$562.34	$562.34	$562.34
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $134.90 / $177.83	Professional		$79.43	$134.90	$177.83
United Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $208.93 / $398.11	Professional		$131.83	$208.93	$398.11