Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.97 / $58.82 / $113.52	Professional		$17.97	$58.82	$113.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.68 / $21.68 / $21.68	Facility		$21.68	$21.68	$21.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.22 / $65.56 / $133.62	Professional		$19.22	$65.56	$133.62
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $95.10 / $131.13 / $356.73	Facility		$95.10	$131.13	$356.73
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $18.38 / $39.51 / $79.00	Professional		$18.38	$39.51	$79.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.78 / $60.12 / $168.74	Professional		$21.78	$60.12	$168.74
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $23.32 / $31.48 / $123.61	Professional		$23.32	$31.48	$123.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $20.49 / $62.48 / $168.88	Professional		$20.49	$62.48	$168.88
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $102.46 / $102.46 / $138.13	Facility		$102.46	$102.46	$138.13
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $314.58 / $553.58 / $714.30	Professional		$314.58	$553.58	$714.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $24.72 / $80.17 / $174.99	Facility		$24.72	$80.17	$174.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.81 / $63.09 / $189.07	Professional		$21.81	$63.09	$189.07
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $70.51 / $70.51 / $276.08	Professional		$70.51	$70.51	$276.08
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $21.21 / $25.93 / $124.98	Professional		$21.21	$25.93	$124.98
United Facility/Professional Professional Modifier Low / Median / High Price $51.77 / $71.55 / $149.63	Professional		$51.77	$71.55	$149.63