Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.97 / $95.64 / $317.00	Professional		$61.97	$95.64	$317.00
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $22.81 / $22.81 / $22.81	Professional	52	$22.81	$22.81	$22.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.64 / $77.42 / $127.03	Professional		$38.64	$77.42	$127.03
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $124.58 / $183.56 / $299.45	Professional		$124.58	$183.56	$299.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.95 / $76.50 / $155.46	Professional		$55.95	$76.50	$155.46
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $85.98 / $94.58 / $137.57	Professional		$85.98	$94.58	$137.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $54.34 / $77.38 / $159.38	Professional		$54.34	$77.38	$159.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $100.00	Professional		$32.34	$32.34	$100.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $51.54 / $79.09 / $200.32	Professional		$51.54	$79.09	$200.32
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $196.59 / $196.59 / $196.59	Professional		$196.59	$196.59	$196.59
United Facility/Professional Professional Modifier Low / Median / High Price $35.51 / $68.18 / $136.07	Professional		$35.51	$68.18	$136.07