Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.89 / $87.47 / $172.95	Professional		$62.89	$87.47	$172.95
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $48.20 / $68.84 / $90.83	Professional		$48.20	$68.84	$90.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.67 / $236.60 / $283.47	Professional		$46.67	$236.60	$283.47
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $27.49 / $38.47 / $51.54	Professional		$27.49	$38.47	$51.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $109.00 / $175.00 / $638.07	Professional		$109.00	$175.00	$638.07
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $151.79 / $331.53 / $379.24	Facility		$151.79	$331.53	$379.24
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $446.97 / $446.97 / $611.85	Professional		$446.97	$446.97	$611.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $60.00	Professional		$60.00	$60.00	$60.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $64.56 / $93.11 / $114.30	Facility		$64.56	$93.11	$114.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $94.68	Professional		$45.00	$45.00	$94.68
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $27.49 / $43.58 / $65.36	Professional		$27.49	$43.58	$65.36
United Facility/Professional Professional Modifier Low / Median / High Price $52.64 / $64.00 / $160.13	Professional		$52.64	$64.00	$160.13