Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.54 / $191.76 / $237.77	Professional		$165.54	$191.76	$237.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $206.08 / $247.32 / $540.80	Professional		$206.08	$247.32	$540.80
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $168.65 / $228.79 / $360.02	Professional		$168.65	$228.79	$360.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $184.50 / $184.50 / $184.50	Professional		$184.50	$184.50	$184.50
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $232.91 / $256.20 / $314.43	Professional		$232.91	$256.20	$314.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $161.44 / $209.62 / $376.72	Professional		$161.44	$209.62	$376.72
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,338.62 / $1,338.62 / $1,683.30	Professional		$1,338.62	$1,338.62	$1,683.30
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 $184.50 / $184.50 / $354.01	Professional		$184.50	$184.50	$354.01
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $717.67 / $717.67 / $717.67	Professional		$717.67	$717.67	$717.67
United Facility/Professional Professional Modifier Low / Median / High Price $175.56 / $247.97 / $627.74	Professional		$175.56	$247.97	$627.74