Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.41 / $28.86 / $127.00	Professional		$16.41	$28.86	$127.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.79 / $32.22 / $59.58	Professional		$20.79	$32.22	$59.58
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $14.47 / $20.67 / $28.93	Professional		$14.47	$20.67	$28.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.64 / $32.75 / $62.10	Professional		$22.64	$32.75	$62.10
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $25.34 / $27.87 / $41.01	Professional		$25.34	$27.87	$41.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $21.16 / $31.68 / $58.71	Professional		$21.16	$31.68	$58.71
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $102.96 / $111.67 / $111.67	Facility		$102.96	$111.67	$111.67
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $146.06 / $198.13 / $258.23	Professional		$146.06	$198.13	$258.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $21.16 / $29.39 / $40.95	Facility		$21.16	$29.39	$40.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $24.75 / $33.50 / $51.89	Professional		$24.75	$33.50	$51.89
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $77.77 / $77.77 / $103.01	Professional		$77.77	$77.77	$103.01
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $23.03 / $28.15 / $41.43	Professional		$23.03	$28.15	$41.43
United Facility/Professional Professional Modifier Low / Median / High Price $22.25 / $28.14 / $69.81	Professional		$22.25	$28.14	$69.81