Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.34 / $36.42 / $187.55	Professional		$24.34	$36.42	$187.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.58 / $5.07 / $109.10	Facility		$4.58	$5.07	$109.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.02 / $50.98 / $93.64	Professional		$46.02	$50.98	$93.64
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $32.96 / $35.13 / $60.74	Professional		$32.96	$35.13	$60.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.15 / $43.15 / $56.64	Facility		$43.15	$43.15	$56.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.68 / $43.15 / $74.63	Professional		$36.68	$43.15	$74.63
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $64.54 / $64.54 / $77.45	Professional		$64.54	$64.54	$77.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $40.82 / $47.62 / $91.84	Professional		$40.82	$47.62	$91.84
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $309.02 / $309.02	Facility		$100.00	$309.02	$309.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $43.15 / $48.29 / $70.88	Facility		$43.15	$48.29	$70.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $36.68 / $43.15 / $62.40	Professional		$36.68	$43.15	$62.40
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $122.69 / $122.69 / $122.69	Professional		$122.69	$122.69	$122.69
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $51.15 / $51.15 / $64.54	Professional		$51.15	$51.15	$64.54
United Facility/Professional Professional Modifier Low / Median / High Price $27.17 / $32.57 / $55.56	Professional		$27.17	$32.57	$55.56