Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.45 / $91.26 / $566.58	Professional		$73.45	$91.26	$566.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $86.74 / $123.20 / $838.99	Professional		$86.74	$123.20	$838.99
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $63.03 / $91.70 / $161.34	Professional		$63.03	$91.70	$161.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.87 / $145.69 / $339.07	Professional		$97.87	$145.69	$339.07
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $152.94 / $168.23 / $206.47	Professional		$152.94	$168.23	$206.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $118.90 / $158.53 / $287.54	Professional		$118.90	$158.53	$287.54
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $767.91 / $767.91 / $983.48	Professional		$767.91	$767.91	$983.48
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 $99.27 / $152.30 / $299.17	Professional		$99.27	$152.30	$299.17
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $351.55 / $351.55 / $351.55	Professional		$351.55	$351.55	$351.55
United Facility/Professional Professional Modifier Low / Median / High Price $72.95 / $100.98 / $299.52	Professional		$72.95	$100.98	$299.52