Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $67.61 / $131.83	Professional		$51.29	$67.61	$131.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $61.66 / $234.42	Professional		$24.55	$61.66	$234.42
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $39.81 / $100.00	Professional		$30.90	$39.81	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $74.13 / $213.80	Professional		$21.38	$74.13	$213.80
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $9.33 / $114.82	Professional		$7.08	$9.33	$114.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $87.10 / $141.25	Professional		$70.79	$87.10	$141.25
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $630.96 / $630.96	Professional		$446.68	$630.96	$630.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $77.62 / $199.53	Professional		$21.38	$77.62	$199.53
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $218.78 / $218.78	Professional		$218.78	$218.78	$218.78
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $95.50 / $117.49	Professional		$95.50	$95.50	$117.49
United Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $58.88 / $123.03	Professional		$30.20	$58.88	$123.03