Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.42 / $106.93 / $400.04	Professional		$58.42	$106.93	$400.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $101.98 / $176.66 / $387.87	Professional		$101.98	$176.66	$387.87
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $194.07 / $304.95 / $656.33	Professional		$194.07	$304.95	$656.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.98 / $88.98 / $88.98	Professional		$88.98	$88.98	$88.98
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $135.97 / $149.58 / $183.57	Professional		$135.97	$149.58	$183.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $103.35 / $137.09 / $229.66	Professional		$103.35	$137.09	$229.66
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $850.50 / $989.06 / $994.59	Professional		$850.50	$989.06	$994.59
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 $88.98 / $88.98 / $216.30	Professional		$88.98	$88.98	$216.30
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $196.04 / $196.04 / $196.04	Professional		$196.04	$196.04	$196.04
United Facility/Professional Professional Modifier Low / Median / High Price $49.20 / $104.07 / $224.15	Professional		$49.20	$104.07	$224.15