Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.91 / $105.75 / $409.35	Professional		$46.91	$105.75	$409.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.61 / $64.55 / $147.22	Professional		$44.61	$64.55	$147.22
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $50.52 / $72.17 / $148.75	Professional		$50.52	$72.17	$148.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.17 / $90.69 / $196.53	Professional		$53.17	$90.69	$196.53
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $55.91 / $73.70 / $151.36	Professional		$55.91	$73.70	$151.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $51.09 / $105.18 / $192.64	Professional		$51.09	$105.18	$192.64
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $395.47 / $731.04 / $867.08	Professional		$395.47	$731.04	$867.08
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 $53.83 / $102.04 / $232.36	Professional		$53.83	$102.04	$232.36
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $168.96 / $168.96 / $320.43	Professional		$168.96	$168.96	$320.43
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $50.73 / $95.82 / $140.12	Professional		$50.73	$95.82	$140.12
United Facility/Professional Professional Modifier Low / Median / High Price $69.84 / $95.70 / $212.73	Professional		$69.84	$95.70	$212.73