Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.22 / $69.48 / $168.53	Professional		$27.22	$69.48	$168.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.32 / $37.32 / $37.32	Facility		$37.32	$37.32	$37.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.09 / $77.55 / $169.31	Professional		$33.09	$77.55	$169.31
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $95.10 / $127.97 / $348.12	Facility		$95.10	$127.97	$348.12
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $29.89 / $51.31 / $101.15	Professional		$29.89	$51.31	$101.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.86 / $74.50 / $197.35	Professional		$33.86	$74.50	$197.35
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $38.14 / $47.68 / $143.11	Professional		$38.14	$47.68	$143.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $30.79 / $82.65 / $196.63	Professional		$30.79	$82.65	$196.63
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $181.31 / $181.31 / $181.31	Facility		$181.31	$181.31	$181.31
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $368.16 / $650.54 / $833.10	Professional		$368.16	$650.54	$833.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $94.45 / $178.75	Facility		$37.15	$94.45	$178.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $34.71 / $78.45 / $202.89	Professional		$34.71	$78.45	$202.89
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $106.63 / $106.63 / $327.82	Professional		$106.63	$106.63	$327.82
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $31.92 / $39.02 / $144.71	Professional		$31.92	$39.02	$144.71
United Facility/Professional Professional Modifier Low / Median / High Price $61.26 / $86.66 / $184.29	Professional		$61.26	$86.66	$184.29