Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $47.86 / $309.03	Professional		$28.18	$47.86	$309.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.13 / $5.13 / $5.13	Facility		$5.13	$5.13	$5.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $69.18 / $181.97	Professional		$33.88	$69.18	$181.97
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $107.15 / $151.36	Facility		$107.15	$107.15	$151.36
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $72.44 / $302.00	Professional		$44.67	$72.44	$302.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $44.67 / $87.10	Facility		$44.67	$44.67	$87.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $44.67 / $102.33	Professional		$38.02	$44.67	$102.33
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $77.62	Professional		$64.57	$64.57	$77.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $64.57 / $109.65	Professional		$54.95	$64.57	$109.65
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $407.38 / $407.38	Facility		$134.90	$407.38	$407.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $54.95 / $91.20	Facility		$25.12	$54.95	$91.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $44.67 / $56.23	Professional		$38.02	$44.67	$56.23
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $154.88 / $154.88	Professional		$154.88	$154.88	$154.88
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $66.07	Professional		$64.57	$64.57	$66.07
United Facility/Professional Facility Modifier Low / Median / High Price $2.51 / $22.91 / $52.48	Facility		$2.51	$22.91	$52.48
United Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $40.74 / $79.43	Professional		$29.51	$40.74	$79.43