Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.50 / $82.89 / $133.46	Professional		$62.50	$82.89	$133.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.20 / $89.97 / $254.69	Professional		$66.20	$89.97	$254.69
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $269.05 / $608.00 / $736.39	Facility		$269.05	$608.00	$736.39
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $54.74 / $78.20 / $103.00	Professional		$54.74	$78.20	$103.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.43 / $111.96 / $345.84	Professional		$73.43	$111.96	$345.84
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $40.54 / $53.57 / $121.55	Professional		$40.54	$53.57	$121.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $80.87 / $96.49 / $212.28	Professional		$80.87	$96.49	$212.28
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $475.62 / $600.48 / $617.88	Facility		$475.62	$600.48	$617.88
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $545.41 / $545.41 / $720.83	Professional		$545.41	$545.41	$720.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $70.70 / $98.20 / $137.97	Facility		$70.70	$98.20	$137.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $72.58 / $116.65 / $257.48	Professional		$72.58	$116.65	$257.48
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $289.35 / $289.35 / $289.35	Professional		$289.35	$289.35	$289.35
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $100.55 / $122.89 / $122.89	Professional		$100.55	$122.89	$122.89
United Facility/Professional Professional Modifier Low / Median / High Price $58.13 / $75.95 / $224.34	Professional		$58.13	$75.95	$224.34