Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.83 / $15.52 / $102.88	Professional		$9.83	$15.52	$102.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.94 / $19.93 / $29.05	Facility		$16.94	$19.93	$29.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.32 / $17.23 / $38.97	Professional		$12.32	$17.23	$38.97
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $9.42 / $13.46 / $46.83	Professional		$9.42	$13.46	$46.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.26 / $43.26 / $43.26	Facility		$43.26	$43.26	$43.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.97 / $16.37 / $54.42	Professional		$9.97	$16.37	$54.42
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $13.50 / $18.19 / $24.56	Professional		$13.50	$18.19	$24.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $16.37 / $20.01 / $31.83	Professional		$16.37	$20.01	$31.83
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $31.65 / $97.00 / $133.81	Facility		$31.65	$97.00	$133.81
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $108.24 / $111.21 / $136.43	Professional		$108.24	$111.21	$136.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.76 / $17.76 / $17.76	Professional		$17.76	$17.76	$17.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.19 / $24.56 / $50.13	Facility		$18.19	$24.56	$50.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.18 / $20.00 / $42.93	Professional		$11.18	$20.00	$42.93
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $56.16 / $56.16 / $56.16	Professional		$56.16	$56.16	$56.16
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $14.55 / $14.55 / $202.50	Professional		$14.55	$14.55	$202.50
United Facility/Professional Professional Modifier Low / Median / High Price $9.60 / $12.92 / $31.97	Professional		$9.60	$12.92	$31.97