Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.93 / $48.90 / $103.01	Professional		$35.93	$48.90	$103.01
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $15.90 / $21.84 / $98.36	Professional	52	$15.90	$21.84	$98.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.93 / $63.84 / $165.45	Professional		$39.93	$63.84	$165.45
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $53.72 / $74.50 / $143.84	Professional		$53.72	$74.50	$143.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.23 / $171.25 / $244.22	Professional		$63.23	$171.25	$244.22
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $46.96 / $55.94 / $67.13	Professional		$46.96	$55.94	$67.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $32.72 / $42.73 / $174.00	Professional		$32.72	$42.73	$174.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $507.19 / $542.50 / $542.50	Professional		$507.19	$542.50	$542.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $47.85	Professional		$32.34	$32.34	$47.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $44.35 / $74.25 / $105.84	Professional		$44.35	$74.25	$105.84
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $122.06 / $122.06 / $122.06	Professional		$122.06	$122.06	$122.06
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $37.97 / $52.23 / $95.10	Professional		$37.97	$52.23	$95.10
United Facility/Professional Professional Modifier Low / Median / High Price $29.21 / $46.46 / $104.04	Professional		$29.21	$46.46	$104.04