Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.95 / $26.99 / $45.01	Professional		$16.95	$26.99	$45.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.10 / $3.44 / $3.44	Facility		$3.10	$3.44	$3.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.94 / $42.06 / $84.34	Professional		$31.94	$42.06	$84.34
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $26.91 / $29.03 / $49.47	Professional		$26.91	$29.03	$49.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.10 / $26.10 / $60.89	Facility		$26.10	$26.10	$60.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.19 / $26.10 / $60.75	Professional		$22.19	$26.10	$60.75
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $44.21 / $44.21 / $53.05	Professional		$44.21	$44.21	$53.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $35.93 / $41.92 / $80.84	Professional		$35.93	$41.92	$80.84
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $80.03 / $252.49 / $252.49	Facility		$80.03	$252.49	$252.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.91 / $33.09 / $61.75	Facility		$16.91	$33.09	$61.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $22.19 / $26.10 / $35.21	Professional		$22.19	$26.10	$35.21
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $101.37 / $101.37 / $101.37	Professional		$101.37	$101.37	$101.37
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $41.66 / $41.66 / $44.21	Professional		$41.66	$41.66	$44.21
United Facility/Professional Facility Modifier Low / Median / High Price $2.02 / $18.16 / $32.70	Facility		$2.02	$18.16	$32.70
United Facility/Professional Professional Modifier Low / Median / High Price $20.29 / $25.23 / $67.06	Professional		$20.29	$25.23	$67.06