Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.58 / $138.71 / $529.00	Professional		$106.58	$138.71	$529.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.05 / $191.49 / $365.73	Professional		$112.05	$191.49	$365.73
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $105.71 / $163.22 / $368.12	Professional		$105.71	$163.22	$368.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.69 / $164.63 / $359.40	Professional		$115.69	$164.63	$359.40
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $28.07 / $42.72 / $202.00	Professional		$28.07	$42.72	$202.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $114.63 / $151.57 / $324.79	Professional		$114.63	$151.57	$324.79
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $779.72 / $779.72 / $949.58	Professional		$779.72	$779.72	$949.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $159.29	Professional		$32.34	$32.34	$159.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $119.04 / $194.53 / $331.34	Professional		$119.04	$194.53	$331.34
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $408.69 / $408.69 / $408.69	Professional		$408.69	$408.69	$408.69
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.19 / $53.40 / $166.38	Professional		$29.19	$53.40	$166.38
United Facility/Professional Professional Modifier Low / Median / High Price $91.96 / $129.25 / $301.92	Professional		$91.96	$129.25	$301.92