Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.45 / $78.06 / $107.44	Professional		$65.45	$78.06	$107.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $79.59 / $79.59 / $79.59	Facility		$79.59	$79.59	$79.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.80 / $89.08 / $123.41	Professional		$58.80	$89.08	$123.41
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $54.73 / $78.09 / $91.14	Professional		$54.73	$78.09	$91.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.64 / $81.63 / $127.44	Professional		$64.64	$81.63	$127.44
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $34.29 / $42.60 / $86.53	Professional		$34.29	$42.60	$86.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $61.29 / $79.76 / $168.54	Professional		$61.29	$79.76	$168.54
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $346.65 / $378.86 / $378.86	Facility		$346.65	$378.86	$378.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $55.62 / $83.33 / $103.91	Facility		$55.62	$83.33	$103.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $71.34 / $83.42 / $108.72	Professional		$71.34	$83.42	$108.72
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $219.25 / $219.25 / $219.25	Professional		$219.25	$219.25	$219.25
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $34.29 / $42.60 / $96.15	Professional		$34.29	$42.60	$96.15
United Facility/Professional Facility Modifier Low / Median / High Price $49.22 / $49.22 / $85.41	Facility		$49.22	$49.22	$85.41
United Facility/Professional Professional Modifier Low / Median / High Price $66.03 / $78.59 / $171.81	Professional		$66.03	$78.59	$171.81