Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $143.44 / $176.18 / $933.50	Professional		$143.44	$176.18	$933.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.62 / $182.88 / $1,301.64	Professional		$138.62	$182.88	$1,301.64
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $138.52 / $182.34 / $377.71	Professional		$138.52	$182.34	$377.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $156.44 / $246.98 / $647.29	Professional		$156.44	$246.98	$647.29
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $219.67 / $241.64 / $296.55	Professional		$219.67	$241.64	$296.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $164.73 / $226.22 / $414.74	Professional		$164.73	$226.22	$414.74
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,103.57 / $1,103.57 / $1,399.50	Professional		$1,103.57	$1,103.57	$1,399.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $162.63 / $260.35 / $459.13	Professional		$162.63	$260.35	$459.13
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $579.21 / $579.21 / $579.21	Professional		$579.21	$579.21	$579.21
United Facility/Professional Professional Modifier Low / Median / High Price $130.78 / $170.45 / $401.95	Professional		$130.78	$170.45	$401.95