Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.88 / $76.15 / $140.68	Professional		$50.88	$76.15	$140.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.32 / $9.22 / $237.88	Facility		$8.32	$9.22	$237.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $92.22 / $117.20 / $160.04	Professional		$92.22	$117.20	$160.04
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $196.66 / $196.66 / $196.66	Facility		$196.66	$196.66	$196.66
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $77.81 / $77.81 / $131.96	Professional		$77.81	$77.81	$131.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $94.65 / $94.65 / $131.96	Facility		$94.65	$94.65	$131.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.45 / $94.65 / $165.75	Professional		$80.45	$94.65	$165.75
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $131.62 / $131.62 / $157.94	Professional		$131.62	$131.62	$157.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $97.10 / $113.28 / $218.47	Professional		$97.10	$113.28	$218.47
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $178.74 / $679.35 / $679.35	Facility		$178.74	$679.35	$679.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $52.76 / $94.65 / $166.12	Facility		$52.76	$94.65	$166.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $80.45 / $94.65 / $135.00	Professional		$80.45	$94.65	$135.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $271.77 / $271.77 / $271.77	Professional		$271.77	$271.77	$271.77
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $111.53 / $111.53 / $131.62	Professional		$111.53	$111.53	$131.62
United Facility/Professional Professional Modifier Low / Median / High Price $63.25 / $70.58 / $118.29	Professional		$63.25	$70.58	$118.29