Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.37 / $20.18 / $60.37	Professional		$16.37	$20.18	$60.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.92 / $21.62 / $53.52	Professional		$16.92	$21.62	$53.52
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $49.98 / $110.33 / $133.63	Facility		$49.98	$110.33	$133.63
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $10.64 / $15.20 / $22.49	Professional		$10.64	$15.20	$22.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.55 / $22.77 / $33.09	Facility		$22.55	$22.77	$33.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.11 / $25.07 / $63.74	Professional		$16.11	$25.07	$63.74
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $10.11 / $19.23 / $28.35	Professional		$10.11	$19.23	$28.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $16.96 / $20.63 / $34.61	Professional		$16.96	$20.63	$34.61
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $84.75 / $93.77 / $93.77	Facility		$84.75	$93.77	$93.77
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $117.74 / $139.44 / $176.48	Professional		$117.74	$139.44	$176.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.73 / $22.28 / $29.80	Facility		$15.73	$22.28	$29.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.53 / $26.49 / $57.85	Professional		$16.53	$26.49	$57.85
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $62.60 / $62.60 / $74.62	Professional		$62.60	$62.60	$74.62
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $19.68 / $24.06 / $28.66	Professional		$19.68	$24.06	$28.66
United Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $20.23 / $62.28	Professional		$14.79	$20.23	$62.28