Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.93 / $72.59 / $109.80	Professional		$61.93	$72.59	$109.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $77.63 / $77.63 / $77.63	Facility		$77.63	$77.63	$77.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.59 / $87.74 / $115.48	Professional		$70.59	$87.74	$115.48
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $65.38 / $93.31 / $108.70	Professional		$65.38	$93.31	$108.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.25 / $80.39 / $130.84	Professional		$65.25	$80.39	$130.84
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $49.20 / $61.11 / $87.53	Professional		$49.20	$61.11	$87.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $62.45 / $81.12 / $171.73	Professional		$62.45	$81.12	$171.73
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $354.23 / $385.32 / $385.32	Facility		$354.23	$385.32	$385.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $56.34 / $81.12 / $105.46	Facility		$56.34	$81.12	$105.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $67.67 / $81.36 / $100.57	Professional		$67.67	$81.36	$100.57
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $204.36 / $204.36 / $204.36	Professional		$204.36	$204.36	$204.36
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $49.20 / $61.11 / $97.28	Professional		$49.20	$61.11	$97.28
United Facility/Professional Professional Modifier Low / Median / High Price $57.98 / $73.31 / $132.60	Professional		$57.98	$73.31	$132.60