Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.97 / $56.07 / $107.69	Professional		$17.97	$56.07	$107.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.25 / $23.25 / $23.25	Facility		$23.25	$23.25	$23.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.62 / $58.99 / $126.92	Professional		$20.62	$58.99	$126.92
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $95.10 / $118.67 / $322.83	Facility		$95.10	$118.67	$322.83
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $18.72 / $38.97 / $77.59	Professional		$18.72	$38.97	$77.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.91 / $57.72 / $159.46	Professional		$21.91	$57.72	$159.46
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $25.65 / $36.04 / $117.04	Professional		$25.65	$36.04	$117.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $20.60 / $62.26 / $160.09	Professional		$20.60	$62.26	$160.09
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $93.83 / $147.07 / $147.07	Facility		$93.83	$147.07	$147.07
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $298.64 / $527.54 / $677.55	Professional		$298.64	$527.54	$677.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $24.72 / $56.56 / $124.75	Facility		$24.72	$56.56	$124.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.93 / $60.52 / $162.50	Professional		$21.93	$60.52	$162.50
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $70.51 / $70.51 / $264.06	Professional		$70.51	$70.51	$264.06
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $21.21 / $25.93 / $118.35	Professional		$21.21	$25.93	$118.35
United Facility/Professional Professional Modifier Low / Median / High Price $49.04 / $68.81 / $146.86	Professional		$49.04	$68.81	$146.86