Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $56.23 / $177.83	Professional		$47.86	$56.23	$177.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $64.57 / $128.82	Professional		$48.98	$64.57	$128.82
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $70.79 / $131.83	Professional		$52.48	$70.79	$131.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $69.18 / $144.54	Professional		$50.12	$69.18	$144.54
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $57.54 / $102.33	Professional		$38.02	$57.54	$102.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $70.79 / $131.83	Professional		$57.54	$70.79	$131.83
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $467.74 / $467.74	Professional		$346.74	$467.74	$467.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $77.62 / $77.62	Professional		$77.62	$77.62	$77.62
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 $50.12 / $72.44 / $141.25	Professional		$50.12	$72.44	$141.25
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $186.21 / $186.21	Professional		$186.21	$186.21	$186.21
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $72.44 / $102.33	Professional		$47.86	$72.44	$102.33
United Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $56.23 / $117.49	Professional		$41.69	$56.23	$117.49