Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.87 / $17.20 / $105.16	Professional		$12.87	$17.20	$105.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $21.66 / $75.00	Professional		$4.00	$21.66	$75.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $16.25 / $22.68 / $40.31	Professional		$16.25	$22.68	$40.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.61 / $36.61 / $105.85	Professional		$16.61	$36.61	$105.85
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $8.81 / $11.65 / $29.40	Professional		$8.81	$11.65	$29.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $17.76 / $20.96 / $40.00	Professional		$17.76	$20.96	$40.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $143.87 / $143.87 / $158.85	Professional		$143.87	$143.87	$158.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.09 / $32.34 / $70.00	Professional		$10.09	$32.34	$70.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.14 / $40.28 / $105.85	Professional		$18.14	$40.28	$105.85
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $69.06 / $69.06	Professional		$10.00	$69.06	$69.06
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $11.65 / $19.76 / $26.16	Professional		$11.65	$19.76	$26.16
United Facility/Professional Professional Modifier Low / Median / High Price $18.10 / $21.29 / $48.16	Professional		$18.10	$21.29	$48.16