Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $21.88 / $91.20	Professional		$15.14	$21.88	$91.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $46.77 / $104.71	Professional		$21.88	$46.77	$104.71
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $35.48 / $85.11	Professional		$27.54	$35.48	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $30.20 / $77.62	Professional		$20.89	$30.20	$77.62
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $43.65 / $53.70	Professional		$39.81	$43.65	$53.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $35.48 / $61.66	Professional		$30.20	$35.48	$61.66
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $269.15 / $269.15	Professional		$199.53	$269.15	$269.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $70.79	Professional		$44.67	$44.67	$70.79
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 $20.42 / $32.36 / $79.43	Professional		$20.42	$32.36	$79.43
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $107.15 / $107.15	Professional		$107.15	$107.15	$107.15
United Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $32.36 / $66.07	Professional		$23.99	$32.36	$66.07