Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $167.99 / $208.61 / $1,055.01	Professional		$167.99	$208.61	$1,055.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $206.54 / $330.58 / $654.62	Professional		$206.54	$330.58	$654.62
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $156.28 / $233.81 / $558.24	Professional		$156.28	$233.81	$558.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $152.07 / $152.07 / $185.16	Professional		$152.07	$152.07	$185.16
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $171.56 / $233.92 / $315.79	Professional		$171.56	$233.92	$315.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $175.67 / $234.42 / $444.83	Professional		$175.67	$234.42	$444.83
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,164.67 / $1,164.67 / $1,447.88	Professional		$1,164.67	$1,164.67	$1,447.88
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 $152.07 / $152.07 / $389.33	Professional		$152.07	$152.07	$389.33
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $654.61 / $654.61 / $654.61	Professional		$654.61	$654.61	$654.61
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $189.23 / $240.18 / $291.64	Professional		$189.23	$240.18	$291.64
United Facility/Professional Professional Modifier Low / Median / High Price $136.81 / $245.86 / $608.58	Professional		$136.81	$245.86	$608.58