Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.36 / $51.87 / $274.20	Professional		$36.36	$51.87	$274.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.95 / $6.59 / $151.74	Facility		$5.95	$6.59	$151.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.79 / $83.79 / $116.64	Professional		$63.79	$83.79	$116.64
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $140.54 / $140.54 / $140.54	Facility		$140.54	$140.54	$140.54
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $51.36 / $58.60 / $100.00	Professional		$51.36	$58.60	$100.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.46 / $60.46 / $94.30	Facility		$60.46	$60.46	$94.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.39 / $60.46 / $113.40	Professional		$51.39	$60.46	$113.40
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $89.07 / $89.07 / $106.88	Professional		$89.07	$89.07	$106.88
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 $119.71 / $433.65 / $433.65	Facility		$119.71	$433.65	$433.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $37.71 / $64.91 / $118.70	Facility		$37.71	$64.91	$118.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $51.39 / $60.46 / $97.19	Professional		$51.39	$60.46	$97.19
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 / $89.07	Professional		$71.14	$71.14	$89.07
United Facility/Professional Professional Modifier Low / Median / High Price $45.01 / $48.22 / $84.28	Professional		$45.01	$48.22	$84.28