Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.99 / $46.99 / $270.18	Professional		$37.99	$46.99	$270.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $135.46 / $290.67 / $2,323.03	Professional		$135.46	$290.67	$2,323.03
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $174.95 / $274.51 / $514.46	Professional		$174.95	$274.51	$514.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.35 / $265.87 / $1,030.14	Professional		$98.35	$265.87	$1,030.14
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $191.97 / $320.98 / $433.32	Professional		$191.97	$320.98	$433.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $222.68 / $291.95 / $741.00	Professional		$222.68	$291.95	$741.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,201.97 / $1,201.97 / $1,981.28	Professional		$1,201.97	$1,201.97	$1,981.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $299.38	Professional		$32.34	$32.34	$299.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $126.50 / $342.01 / $586.94	Professional		$126.50	$342.01	$586.94
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $249.56 / $287.95 / $357.05	Professional		$249.56	$287.95	$357.05
United Facility/Professional Professional Modifier Low / Median / High Price $32.77 / $46.33 / $163.38	Professional		$32.77	$46.33	$163.38