Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $44.67 / $134.90	Professional		$30.90	$44.67	$134.90
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $40.74 / $63.10 / $109.65	Professional	52	$40.74	$63.10	$109.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $32.36 / $51.29	Professional		$30.20	$32.36	$51.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $42.66 / $138.04	Professional		$25.70	$42.66	$138.04
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $28.84 / $47.86	Professional		$22.91	$28.84	$47.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $42.66 / $117.49	Professional		$26.30	$42.66	$117.49
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $33.88 / $72.44	Professional		$25.70	$33.88	$72.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $54.95 / $89.13	Professional		$44.67	$54.95	$89.13
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $398.11 / $398.11	Professional		$257.04	$398.11	$398.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Professional		$60.26	$60.26	$60.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $44.67 / $107.15	Professional		$26.30	$44.67	$107.15
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Professional		$128.82	$128.82	$128.82
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $72.44	Professional		$60.26	$60.26	$72.44
United Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $33.11 / $72.44	Professional		$22.39	$33.11	$72.44