Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $525.15 / $714.37 / $1,084.31	Professional		$525.15	$714.37	$1,084.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $500.67 / $750.31 / $1,542.76	Professional		$500.67	$750.31	$1,542.76
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $459.68 / $735.48 / $1,751.83	Professional		$459.68	$735.48	$1,751.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $619.36 / $854.14 / $1,878.23	Professional		$619.36	$854.14	$1,878.23
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $233.85 / $355.91 / $878.04	Professional		$233.85	$355.91	$878.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $485.55 / $617.53 / $1,224.36	Professional		$485.55	$617.53	$1,224.36
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,283.07 / $4,283.07 / $4,283.07	Professional		$4,283.07	$4,283.07	$4,283.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $695.79	Professional		$32.34	$32.34	$695.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $646.78 / $929.12 / $1,779.93	Professional		$646.78	$929.12	$1,779.93
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,197.30 / $2,197.30 / $2,197.30	Professional		$2,197.30	$2,197.30	$2,197.30
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $350.77 / $570.23 / $723.26	Professional		$350.77	$570.23	$723.26
United Facility/Professional Professional Modifier Low / Median / High Price $499.52 / $699.96 / $1,909.71	Professional		$499.52	$699.96	$1,909.71