Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.08 / $113.57 / $407.46	Professional		$97.08	$113.57	$407.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $101.75 / $132.02 / $256.41	Professional		$101.75	$132.02	$256.41
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $81.81 / $108.75 / $262.64	Professional		$81.81	$108.75	$262.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.46 / $162.30 / $420.63	Professional		$108.46	$162.30	$420.63
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $117.76 / $129.54 / $158.97	Professional		$117.76	$129.54	$158.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $96.44 / $120.35 / $212.77	Professional		$96.44	$120.35	$212.77
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $695.50 / $695.50 / $861.83	Professional		$695.50	$695.50	$861.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $157.18	Professional		$32.34	$32.34	$157.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $121.13 / $203.75 / $294.70	Professional		$121.13	$203.75	$294.70
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $360.76 / $360.76 / $360.76	Professional		$360.76	$360.76	$360.76
United Facility/Professional Professional Modifier Low / Median / High Price $86.13 / $115.50 / $277.08	Professional		$86.13	$115.50	$277.08