Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.67 / $63.34 / $107.98	Professional		$13.67	$63.34	$107.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.72 / $21.63 / $72.75	Professional		$14.72	$21.63	$72.75
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $15.68 / $52.96 / $119.85	Professional		$15.68	$52.96	$119.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.23 / $77.40 / $165.59	Professional		$17.23	$77.40	$165.59
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $12.66 / $19.26 / $113.67	Professional		$12.66	$19.26	$113.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $15.76 / $69.50 / $165.11	Professional		$15.76	$69.50	$165.11
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $287.77 / $564.24 / $654.53	Professional		$287.77	$564.24	$654.53
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 $17.95 / $78.94 / $185.36	Professional		$17.95	$78.94	$185.36
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $54.18 / $54.18 / $282.58	Professional		$54.18	$54.18	$282.58
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $14.16 / $19.47 / $114.95	Professional		$14.16	$19.47	$114.95
United Facility/Professional Professional Modifier Low / Median / High Price $61.50 / $82.95 / $187.59	Professional		$61.50	$82.95	$187.59