Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $28.18 / $128.82	Professional		$19.95	$28.18	$128.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $41.69 / $81.28	Professional		$29.51	$41.69	$81.28
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $47.86 / $93.33	Professional		$34.67	$47.86	$93.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $97.72 / $181.97	Professional		$34.67	$97.72	$181.97
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $33.11 / $44.67	Professional		$27.54	$33.11	$44.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $29.51 / $128.82	Professional		$23.44	$29.51	$128.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $204.17 / $208.93	Professional		$204.17	$204.17	$208.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
Optum Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $30.90 / $39.81	Professional		$30.90	$30.90	$39.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $54.95 / $87.10	Professional		$31.62	$54.95	$87.10
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Professional		$75.86	$75.86	$75.86
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $35.48 / $46.77	Professional		$26.92	$35.48	$46.77
United Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $30.90 / $58.88	Professional		$18.62	$30.90	$58.88