Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $28.18 / $199.53	Professional		$18.20	$28.18	$199.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.47 / $3.47 / $3.47	Facility		$3.47	$3.47	$3.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $41.69 / $123.03	Professional		$23.44	$41.69	$123.03
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $32.36 / $194.98	Professional		$26.92	$32.36	$194.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $26.30 / $52.48	Facility		$26.30	$26.30	$52.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $26.30 / $60.26	Professional		$22.39	$26.30	$60.26
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $52.48	Professional		$44.67	$44.67	$52.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $42.66 / $74.13	Professional		$37.15	$42.66	$74.13
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $251.19 / $251.19	Facility		$100.00	$251.19	$251.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $33.88 / $63.10	Facility		$16.98	$33.88	$63.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $26.30 / $35.48	Professional		$22.39	$26.30	$35.48
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $102.33 / $102.33	Professional		$102.33	$102.33	$102.33
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $42.66 / $44.67	Professional		$42.66	$42.66	$44.67
United Facility/Professional Facility Modifier Low / Median / High Price $1.70 / $15.49 / $32.36	Facility		$1.70	$15.49	$32.36
United Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $25.12 / $53.70	Professional		$19.95	$25.12	$53.70