Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.22 / $53.66 / $126.90	Professional		$34.22	$53.66	$126.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.59 / $7.30 / $151.74	Facility		$6.59	$7.30	$151.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.47 / $72.98 / $148.21	Professional		$72.47	$72.98	$148.21
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $46.36 / $51.36 / $84.48	Professional		$46.36	$51.36	$84.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.23 / $64.23 / $79.36	Facility		$64.23	$64.23	$79.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.60 / $54.60 / $138.75	Professional		$54.60	$54.60	$138.75
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $103.69 / $103.69 / $124.43	Professional		$103.69	$103.69	$124.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $65.66 / $76.59 / $147.72	Professional		$65.66	$76.59	$147.72
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $128.94 / $433.65 / $433.65	Facility		$128.94	$433.65	$433.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $63.45 / $66.62 / $118.70	Facility		$63.45	$66.62	$118.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $54.60 / $63.45 / $64.23	Professional		$54.60	$63.45	$64.23
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $179.37 / $179.37 / $179.37	Professional		$179.37	$179.37	$179.37
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $71.14 / $71.14 / $103.69	Professional		$71.14	$71.14	$103.69
United Facility/Professional Professional Modifier Low / Median / High Price $40.64 / $48.14 / $95.88	Professional		$40.64	$48.14	$95.88