Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.91 / $134.05 / $504.00	Professional		$108.91	$134.05	$504.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $122.69 / $201.54 / $405.53	Professional		$122.69	$201.54	$405.53
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $97.80 / $135.57 / $312.68	Professional		$97.80	$135.57	$312.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.52 / $181.05 / $457.26	Professional		$125.52	$181.05	$457.26
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $105.13 / $162.31 / $219.12	Professional		$105.13	$162.31	$219.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $112.84 / $147.71 / $344.00	Professional		$112.84	$147.71	$344.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $903.71 / $903.71 / $1,006.58	Professional		$903.71	$903.71	$1,006.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $163.93	Professional		$32.34	$32.34	$163.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $126.11 / $191.99 / $374.67	Professional		$126.11	$191.99	$374.67
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $467.72 / $467.72 / $467.72	Professional		$467.72	$467.72	$467.72
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $131.30 / $147.71 / $180.53	Professional		$131.30	$147.71	$180.53
United Facility/Professional Professional Modifier Low / Median / High Price $94.71 / $134.40 / $350.49	Professional		$94.71	$134.40	$350.49