Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.14 / $19.57 / $109.92	Professional		$18.14	$19.57	$109.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.46 / $25.24 / $36.79	Facility		$21.46	$25.24	$36.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.32 / $23.01 / $58.75	Professional		$12.32	$23.01	$58.75
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $9.42 / $13.46 / $53.51	Professional		$9.42	$13.46	$53.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.84 / $54.84 / $54.84	Facility		$54.84	$54.84	$54.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.58 / $21.93 / $72.20	Professional		$13.58	$21.93	$72.20
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $18.43 / $23.04 / $31.10	Professional		$18.43	$23.04	$31.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $20.74 / $25.34 / $40.32	Professional		$20.74	$25.34	$40.32
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $40.09 / $109.44 / $119.73	Facility		$40.09	$109.44	$119.73
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $166.58 / $166.58 / $172.80	Professional		$166.58	$166.58	$172.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $23.04 / $23.04 / $23.04	Professional		$23.04	$23.04	$23.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $23.04 / $30.00 / $67.97	Facility		$23.04	$30.00	$67.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.98 / $27.88 / $56.75	Professional		$14.98	$27.88	$56.75
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $80.87 / $80.87 / $80.87	Professional		$80.87	$80.87	$80.87
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $18.43 / $18.43 / $276.45	Professional		$18.43	$18.43	$276.45
United Facility/Professional Professional Modifier Low / Median / High Price $13.82 / $17.22 / $71.34	Professional		$13.82	$17.22	$71.34