Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.60 / $198.16 / $809.49	Professional		$142.60	$198.16	$809.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $171.72 / $288.08 / $513.95	Professional		$171.72	$288.08	$513.95
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $185.02 / $278.55 / $619.64	Professional		$185.02	$278.55	$619.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $171.41 / $242.64 / $529.15	Professional		$171.41	$242.64	$529.15
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $70.67 / $270.50	Professional		$37.15	$70.67	$270.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $153.10 / $202.55 / $383.71	Professional		$153.10	$202.55	$383.71
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,266.98 / $2,295.00 / $2,295.00	Professional		$1,266.98	$2,295.00	$2,295.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $210.65	Professional		$32.34	$32.34	$210.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $180.00 / $275.72 / $462.56	Professional		$180.00	$275.72	$462.56
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $571.27 / $571.27 / $571.27	Professional		$571.27	$571.27	$571.27
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $55.72 / $121.64 / $222.81	Professional		$55.72	$121.64	$222.81
United Facility/Professional Professional Modifier Low / Median / High Price $133.66 / $192.40 / $420.28	Professional		$133.66	$192.40	$420.28