Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.41 / $46.94 / $225.17	Professional		$42.41	$46.94	$225.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.87 / $5.40 / $5.40	Facility		$4.87	$5.40	$5.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.56 / $59.61 / $133.38	Professional		$44.56	$59.61	$133.38
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $42.18 / $42.18 / $100.00	Professional		$42.18	$42.18	$100.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.29 / $43.29 / $88.97	Facility		$43.29	$43.29	$88.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.79 / $43.29 / $85.66	Professional		$36.79	$43.29	$85.66
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $76.54 / $76.54 / $91.85	Professional		$76.54	$76.54	$91.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $56.29 / $65.67 / $126.66	Professional		$56.29	$65.67	$126.66
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $118.66 / $310.56 / $314.20	Facility		$118.66	$310.56	$314.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $43.97 / $58.63 / $117.70	Facility		$43.97	$58.63	$117.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $36.79 / $43.29 / $73.98	Professional		$36.79	$43.29	$73.98
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $147.30 / $147.30 / $147.30	Professional		$147.30	$147.30	$147.30
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $52.92 / $52.92 / $76.54	Professional		$52.92	$52.92	$76.54
United Facility/Professional Professional Modifier Low / Median / High Price $36.89 / $43.97 / $86.23	Professional		$36.89	$43.97	$86.23