Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.46 / $12.64 / $97.22	Professional		$9.46	$12.64	$97.22
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 $8.56 / $12.89 / $31.58	Professional		$8.56	$12.89	$31.58
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 $43.26 / $43.26 / $43.26	Facility		$43.26	$43.26	$43.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.74 / $12.90 / $42.91	Professional		$7.74	$12.90	$42.91
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $11.50 / $18.19 / $24.56	Professional		$11.50	$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 $55.00 / $86.40 / $86.40	Facility		$55.00	$86.40	$86.40
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $482.12 / $482.12 / $482.12	Professional		$482.12	$482.12	$482.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.39 / $21.83 / $43.26	Facility		$14.39	$21.83	$43.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $7.79 / $18.30 / $32.22	Professional		$7.79	$18.30	$32.22
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $53.07 / $53.07 / $53.07	Professional		$53.07	$53.07	$53.07
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $14.55 / $14.55 / $172.50	Professional		$14.55	$14.55	$172.50
United Facility/Professional Professional Modifier Low / Median / High Price $8.81 / $10.39 / $36.09	Professional		$8.81	$10.39	$36.09