Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $295.12 / $295.12	Facility		$66.07	$295.12	$295.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $173.78 / $2,137.96	Professional		$23.44	$173.78	$2,137.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $51.29 / $109.65	Professional		$34.67	$51.29	$109.65
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $51.29 / $114.82	Professional		$38.90	$51.29	$114.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $54.95 / $54.95	Facility		$54.95	$54.95	$54.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $28.84 / $112.20	Professional		$13.18	$28.84	$112.20
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $32.36 / $43.65	Professional		$20.89	$32.36	$43.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $29.51 / $48.98	Professional		$24.55	$29.51	$48.98
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Facility		$151.36	$151.36	$151.36
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $288.40 / $489.78	Professional		$288.40	$288.40	$489.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $33.88 / $74.13	Facility		$17.78	$33.88	$74.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $33.11 / $97.72	Professional		$14.79	$33.11	$97.72
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $85.11	Professional		$85.11	$85.11	$85.11
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $26.30 / $36.31	Professional		$26.30	$26.30	$36.31
United Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $24.55 / $67.61	Professional		$13.49	$24.55	$67.61