Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.69 / $166.52 / $247.39	Professional		$138.69	$166.52	$247.39
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $212.65 / $212.65 / $212.65	Professional	25	$212.65	$212.65	$212.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $163.04 / $163.04 / $163.04	Facility		$163.04	$163.04	$163.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $132.44 / $182.70 / $263.27	Professional		$132.44	$182.70	$263.27
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $124.91 / $178.25 / $206.45	Professional		$124.91	$178.25	$206.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $146.46 / $175.98 / $304.72	Professional		$146.46	$175.98	$304.72
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $80.09 / $99.48 / $206.66	Professional		$80.09	$99.48	$206.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $147.01 / $190.97 / $404.27	Professional		$147.01	$190.97	$404.27
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $832.62 / $907.11 / $907.11	Facility		$832.62	$907.11	$907.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $113.97 / $187.13 / $247.39	Facility		$113.97	$187.13	$247.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $150.56 / $177.34 / $232.39	Professional		$150.56	$177.34	$232.39
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $467.06 / $467.06 / $467.06	Professional		$467.06	$467.06	$467.06
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $80.09 / $99.48 / $229.60	Professional		$80.09	$99.48	$229.60
United Facility/Professional Professional Modifier Low / Median / High Price $137.80 / $170.87 / $432.01	Professional		$137.80	$170.87	$432.01