Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.65 / $52.67 / $190.00	Professional		$38.65	$52.67	$190.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.33 / $1.33 / $157.00	Facility		$1.33	$1.33	$157.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.48 / $56.77 / $91.42	Professional		$1.48	$56.77	$91.42
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $38.51 / $55.02 / $63.92	Professional		$38.51	$55.02	$63.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.91 / $47.91 / $75.00	Professional		$47.91	$47.91	$75.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $52.37 / $65.45 / $72.01	Professional		$52.37	$65.45	$72.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $43.96 / $58.91 / $120.89	Professional		$43.96	$58.91	$120.89
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $275.83 / $276.58 / $276.58	Facility		$275.83	$276.58	$276.58
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 Facility Modifier Low / Median / High Price $19.32 / $47.89 / $75.70	Facility		$19.32	$47.89	$75.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $47.91 / $70.22	Professional		$47.86	$47.91	$70.22
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $174.18 / $174.18 / $174.18	Professional		$174.18	$174.18	$174.18
United Facility/Professional Professional Modifier Low / Median / High Price $41.50 / $50.79 / $104.23	Professional		$41.50	$50.79	$104.23