Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.11 / $42.08 / $237.59	Professional		$28.11	$42.08	$237.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.59 / $5.09 / $138.79	Facility		$4.59	$5.09	$138.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.96 / $64.43 / $96.09	Professional		$50.96	$64.43	$96.09
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $106.85 / $106.85 / $106.85	Facility		$106.85	$106.85	$106.85
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $42.11 / $44.51 / $77.27	Professional		$42.11	$44.51	$77.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.33 / $44.33 / $92.49	Facility		$44.33	$44.33	$92.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.68 / $37.68 / $127.50	Professional		$37.68	$37.68	$127.50
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $65.23 / $65.23 / $78.28	Professional		$65.23	$65.23	$78.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $54.15 / $63.18 / $121.84	Professional		$54.15	$63.18	$121.84
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $117.94 / $407.44 / $407.44	Facility		$117.94	$407.44	$407.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $25.13 / $54.58 / $90.23	Facility		$25.13	$54.58	$90.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $37.68 / $37.68 / $44.33	Professional		$37.68	$37.68	$44.33
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $155.41 / $155.41 / $155.41	Professional		$155.41	$155.41	$155.41
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $65.06 / $65.06 / $65.23	Professional		$65.06	$65.06	$65.23
United Facility/Professional Professional Modifier Low / Median / High Price $31.59 / $41.08 / $70.39	Professional		$31.59	$41.08	$70.39