Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $22.91 / $147.91	Professional		$15.85	$22.91	$147.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $18.20 / $25.70	Facility		$15.49	$18.20	$25.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $44.67 / $114.82	Professional		$28.84	$44.67	$114.82
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $21.88 / $63.10	Professional		$17.78	$21.88	$63.10
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 $22.39 / $30.20 / $93.33	Professional		$22.39	$30.20	$93.33
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $22.39 / $30.20	Professional		$19.95	$22.39	$30.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $24.55 / $38.90	Professional		$19.95	$24.55	$38.90
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $181.97 / $181.97	Facility		$181.97	$181.97	$181.97
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $316.23 / $316.23	Professional		$316.23	$316.23	$316.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $32.36 / $66.07	Facility		$18.20	$32.36	$66.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $31.62 / $93.33	Professional		$24.55	$31.62	$93.33
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $77.62 / $77.62	Professional		$77.62	$77.62	$77.62
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $17.38 / $295.12	Professional		$17.38	$17.38	$295.12
United Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $19.05 / $60.26	Professional		$13.49	$19.05	$60.26