Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $21.56 / $142.94	Professional		$17.78	$21.56	$142.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.99 / $17.63 / $25.70	Facility		$14.99	$17.63	$25.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $48.30 / $113.55	Professional		$12.59	$48.30	$113.55
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $13.78 / $19.68 / $68.47	Professional		$13.78	$19.68	$68.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.30 / $53.30 / $53.30	Facility		$53.30	$53.30	$53.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.97 / $28.74 / $107.91	Professional		$21.97	$28.74	$107.91
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $19.76 / $22.23 / $30.01	Professional		$19.76	$22.23	$30.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $20.01 / $24.45 / $38.90	Professional		$20.01	$24.45	$38.90
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $38.68 / $181.05 / $181.05	Facility		$38.68	$181.05	$181.05
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $314.77 / $314.77 / $314.77	Professional		$314.77	$314.77	$314.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.44 / $18.44 / $22.23	Professional		$18.44	$18.44	$22.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $26.11 / $35.57 / $68.75	Facility		$26.11	$35.57	$68.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $24.45 / $28.12 / $86.51	Professional		$24.45	$28.12	$86.51
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $78.02 / $78.02 / $78.02	Professional		$78.02	$78.02	$78.02
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $17.32 / $17.32 / $296.39	Professional		$17.32	$17.32	$296.39
United Facility/Professional Professional Modifier Low / Median / High Price $13.34 / $18.54 / $45.84	Professional		$13.34	$18.54	$45.84