Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.86 / $77.37 / $105.07	Professional		$55.86	$77.37	$105.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.45 / $97.10 / $220.45	Professional		$75.45	$97.10	$220.45
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $63.53 / $86.26 / $135.69	Professional		$63.53	$86.26	$135.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.93 / $69.93 / $69.93	Professional		$69.93	$69.93	$69.93
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $88.64 / $97.50 / $119.66	Professional		$88.64	$97.50	$119.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $61.34 / $79.78 / $143.13	Professional		$61.34	$79.78	$143.13
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $510.91 / $510.91 / $636.00	Professional		$510.91	$510.91	$636.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $69.93 / $69.93 / $117.01	Professional		$69.93	$69.93	$117.01
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $274.02 / $274.02 / $274.02	Professional		$274.02	$274.02	$274.02
United Facility/Professional Professional Modifier Low / Median / High Price $65.80 / $93.58 / $231.80	Professional		$65.80	$93.58	$231.80