Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.06 / $72.31 / $170.11	Professional		$37.06	$72.31	$170.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $49.61 / $49.61 / $49.61	Facility		$49.61	$49.61	$49.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.99 / $83.95 / $192.83	Professional		$43.99	$83.95	$192.83
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $95.10 / $148.74 / $404.62	Facility		$95.10	$148.74	$404.62
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $37.72 / $62.76 / $116.64	Professional		$37.72	$62.76	$116.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.81 / $85.80 / $199.88	Professional		$45.81	$85.80	$199.88
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $32.95 / $52.94 / $136.25	Professional		$32.95	$52.94	$136.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $42.14 / $90.74 / $194.56	Professional		$42.14	$90.74	$194.56
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $192.25 / $210.71 / $210.71	Facility		$192.25	$210.71	$210.71
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $357.89 / $638.98 / $804.60	Professional		$357.89	$638.98	$804.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $49.47 / $102.73 / $346.58	Facility		$49.47	$102.73	$346.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $46.42 / $90.90 / $221.52	Professional		$46.42	$90.90	$221.52
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $147.50 / $147.50 / $327.82	Professional		$147.50	$147.50	$327.82
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $43.79 / $53.52 / $137.76	Professional		$43.79	$53.52	$137.76
United Facility/Professional Professional Modifier Low / Median / High Price $63.16 / $86.19 / $211.62	Professional		$63.16	$86.19	$211.62