Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $28.18 / $112.20	Professional		$21.88	$28.18	$112.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $63.10 / $120.23	Professional		$28.84	$63.10	$120.23
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $44.67 / $97.72	Professional		$33.88	$44.67	$97.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $39.81 / $87.10	Professional		$24.55	$39.81	$87.10
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $51.29 / $63.10	Professional		$46.77	$51.29	$63.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $41.69 / $72.44	Professional		$35.48	$41.69	$72.44
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $316.23 / $316.23	Professional		$239.88	$316.23	$316.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $54.95	Professional		$54.95	$54.95	$54.95
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 $24.55 / $40.74 / $91.20	Professional		$24.55	$40.74	$91.20
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $125.89	Professional		$125.89	$125.89	$125.89
United Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $38.90 / $77.62	Professional		$28.84	$38.90	$77.62