Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.46 / $12.64 / $271.48	Professional		$9.46	$12.64	$271.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.32 / $46.26 / $67.44	Facility		$39.32	$46.26	$67.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.31 / $14.60 / $43.98	Professional		$9.31	$14.60	$43.98
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 $101.19 / $101.19 / $101.19	Facility		$101.19	$101.19	$101.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.74 / $21.59 / $64.11	Professional		$7.74	$21.59	$64.11
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $11.50 / $42.22 / $57.00	Professional		$11.50	$42.22	$57.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $38.00 / $46.44 / $73.89	Professional		$38.00	$46.44	$73.89
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $67.55 / $200.55 / $200.55	Facility		$67.55	$200.55	$200.55
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $468.52 / $468.52 / $468.52	Professional		$468.52	$468.52	$468.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.71 / $42.22 / $78.00	Facility		$17.71	$42.22	$78.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $7.89 / $45.18 / $64.02	Professional		$7.89	$45.18	$64.02
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $148.19 / $148.19 / $148.19	Professional		$148.19	$148.19	$148.19
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $33.78 / $33.78 / $172.50	Professional		$33.78	$33.78	$172.50
United Facility/Professional Professional Modifier Low / Median / High Price $8.81 / $25.33 / $108.63	Professional		$8.81	$25.33	$108.63