Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.21 / $43.27 / $50.90	Facility		$36.21	$43.27	$50.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.21 / $41.04 / $60.06	Professional		$36.21	$41.04	$60.06
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $45.14 / $45.14 / $45.14	Professional	25	$45.14	$45.14	$45.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.82 / $51.78 / $136.36	Facility		$42.82	$51.78	$136.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.04 / $47.32 / $93.76	Professional		$38.04	$47.32	$93.76
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $28.87 / $38.06 / $100.00	Professional		$28.87	$38.06	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.47 / $51.71 / $144.43	Professional		$39.47	$51.71	$144.43
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $13.70 / $45.87 / $50.46	Professional		$13.70	$45.87	$50.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $36.86 / $47.22 / $94.21	Professional		$36.86	$47.22	$94.21
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $85.28 / $180.13 / $198.88	Facility		$85.28	$180.13	$198.88
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $268.26 / $268.26 / $268.26	Professional		$268.26	$268.26	$268.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $41.88 / $65.81 / $83.00	Facility		$41.88	$65.81	$83.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $37.84 / $54.82 / $118.55	Professional		$37.84	$54.82	$118.55
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $114.81 / $114.81 / $114.81	Professional		$114.81	$114.81	$114.81
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $17.80 / $23.29 / $41.71	Professional		$17.80	$23.29	$41.71
United Facility/Professional Professional Modifier Low / Median / High Price $33.47 / $50.11 / $124.97	Professional		$33.47	$50.11	$124.97