Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.29 / $52.88 / $171.26	Professional		$25.29	$52.88	$171.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.98 / $52.64 / $115.98	Professional		$25.98	$52.64	$115.98
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $29.96 / $60.94 / $107.24	Professional		$29.96	$60.94	$107.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.79 / $59.97 / $121.62	Professional		$29.79	$59.97	$121.62
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $31.25 / $42.19 / $92.03	Professional		$31.25	$42.19	$92.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $28.28 / $63.28 / $122.00	Professional		$28.28	$63.28	$122.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,236.00 / $1,385.27 / $1,462.00	Professional		$1,236.00	$1,385.27	$1,462.00
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 $30.02 / $62.27 / $125.40	Professional		$30.02	$62.27	$125.40
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $95.92 / $95.92 / $198.11	Professional		$95.92	$95.92	$198.11
United Facility/Professional Professional Modifier Low / Median / High Price $46.51 / $61.71 / $136.75	Professional		$46.51	$61.71	$136.75