Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.65 / $159.41 / $1,018.21	Professional		$141.65	$159.41	$1,018.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $201.87 / $274.51 / $569.44	Professional		$201.87	$274.51	$569.44
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $131.82 / $197.22 / $473.39	Professional		$131.82	$197.22	$473.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $135.10 / $135.10 / $174.85	Professional		$135.10	$135.10	$174.85
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $138.93 / $208.07 / $280.89	Professional		$138.93	$208.07	$280.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $156.19 / $208.44 / $391.17	Professional		$156.19	$208.44	$391.17
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $943.35 / $943.35 / $1,285.43	Professional		$943.35	$943.35	$1,285.43
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 $135.10 / $135.10 / $347.16	Professional		$135.10	$135.10	$347.16
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $631.77 / $631.77 / $631.77	Professional		$631.77	$631.77	$631.77
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $168.33 / $194.51 / $236.19	Professional		$168.33	$194.51	$236.19
United Facility/Professional Professional Modifier Low / Median / High Price $103.98 / $237.29 / $587.34	Professional		$103.98	$237.29	$587.34