Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.52 / $43.31 / $112.20	Professional		$18.52	$43.31	$112.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.38 / $47.42 / $99.71	Professional		$31.38	$47.42	$99.71
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $28.45 / $35.65 / $54.66	Professional	50	$28.45	$35.65	$54.66
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $38.79 / $55.42 / $105.06	Professional		$38.79	$55.42	$105.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.33 / $45.39 / $89.51	Professional		$22.33	$45.39	$89.51
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $20.44 / $30.16 / $50.96	Professional		$20.44	$30.16	$50.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $18.39 / $35.53 / $64.91	Professional		$18.39	$35.53	$64.91
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $193.00 / $324.79 / $335.74	Professional		$193.00	$324.79	$335.74
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 $23.30 / $46.87 / $89.51	Professional		$23.30	$46.87	$89.51
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $63.05 / $63.05 / $117.14	Professional		$63.05	$63.05	$117.14
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $18.59 / $38.03 / $54.28	Professional		$18.59	$38.03	$54.28
United Facility/Professional Professional Modifier Low / Median / High Price $26.70 / $44.50 / $83.42	Professional		$26.70	$44.50	$83.42