Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.46 / $12.64 / $154.51	Professional		$9.46	$12.64	$154.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.38 / $26.33 / $38.38	Facility		$22.38	$26.33	$38.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.31 / $12.89 / $36.04	Professional		$9.31	$12.89	$36.04
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $6.55 / $9.35 / $32.56	Professional		$6.55	$9.35	$32.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.16 / $57.16 / $57.16	Facility		$57.16	$57.16	$57.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.74 / $16.00 / $58.62	Professional		$7.74	$16.00	$58.62
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $11.50 / $24.03 / $32.44	Professional		$11.50	$24.03	$32.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $21.63 / $26.43 / $42.05	Professional		$21.63	$26.43	$42.05
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $41.81 / $114.14 / $114.14	Facility		$41.81	$114.14	$114.14
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $120.15 / $120.15 / $180.23	Professional		$120.15	$120.15	$180.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.07 / $28.84 / $57.16	Facility		$17.07	$28.84	$57.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $7.89 / $26.43 / $47.05	Professional		$7.89	$26.43	$47.05
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $84.34 / $84.34 / $84.34	Professional		$84.34	$84.34	$84.34
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $19.22 / $19.22 / $172.50	Professional		$19.22	$19.22	$172.50
United Facility/Professional Professional Modifier Low / Median / High Price $8.86 / $14.42 / $57.86	Professional		$8.86	$14.42	$57.86