Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.37 / $43.57 / $75.41	Professional		$27.37	$43.57	$75.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.00 / $5.54 / $5.54	Facility		$5.00	$5.54	$5.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.05 / $67.55 / $106.63	Professional		$55.05	$67.55	$106.63
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $41.90 / $45.68 / $79.22	Professional		$41.90	$45.68	$79.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.54 / $35.54 / $98.12	Facility		$35.54	$35.54	$98.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.22 / $35.54 / $103.13	Professional		$30.22	$35.54	$103.13
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $71.37 / $71.37 / $85.64	Professional		$71.37	$71.37	$85.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $57.79 / $67.42 / $130.02	Professional		$57.79	$67.42	$130.02
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $128.47 / $405.24 / $405.24	Facility		$128.47	$405.24	$405.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $27.30 / $55.12 / $99.73	Facility		$27.30	$55.12	$99.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $30.22 / $35.54 / $56.47	Professional		$30.22	$35.54	$56.47
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $159.53 / $159.53 / $159.53	Professional		$159.53	$159.53	$159.53
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $64.86 / $64.86 / $71.37	Professional		$64.86	$64.86	$71.37
United Facility/Professional Professional Modifier Low / Median / High Price $33.17 / $39.40 / $58.21	Professional		$33.17	$39.40	$58.21