Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.49 / $70.29 / $122.67	Professional		$30.49	$70.29	$122.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.41 / $78.03 / $178.99	Professional		$42.41	$78.03	$178.99
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $227.45 / $513.84 / $622.35	Facility		$227.45	$513.84	$622.35
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $32.71 / $54.89 / $100.00	Professional		$32.71	$54.89	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.02 / $81.81 / $227.00	Professional		$36.02	$81.81	$227.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $28.93 / $40.08 / $120.36	Professional		$28.93	$40.08	$120.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $29.46 / $79.11 / $132.68	Professional		$29.46	$79.11	$132.68
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $154.16 / $158.51 / $158.51	Facility		$154.16	$158.51	$158.51
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $313.04 / $539.48 / $705.90	Professional		$313.04	$539.48	$705.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $28.22 / $59.83 / $116.09	Facility		$28.22	$59.83	$116.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $37.11 / $83.03 / $219.42	Professional		$37.11	$83.03	$219.42
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $108.83 / $108.83 / $275.92	Professional		$108.83	$108.83	$275.92
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $33.15 / $40.51 / $121.69	Professional		$33.15	$40.51	$121.69
United Facility/Professional Facility Modifier Low / Median / High Price $34.02 / $34.02 / $34.02	Facility		$34.02	$34.02	$34.02
United Facility/Professional Professional Modifier Low / Median / High Price $60.58 / $76.50 / $210.66	Professional		$60.58	$76.50	$210.66