Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.88 / $45.21 / $78.31	Professional		$30.88	$45.21	$78.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.49 / $6.08 / $6.08	Facility		$5.49	$6.08	$6.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.82 / $68.97 / $111.95	Professional		$60.82	$68.97	$111.95
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $44.83 / $49.23 / $87.03	Professional		$44.83	$49.23	$87.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.10 / $44.10 / $55.90	Facility		$44.10	$44.10	$55.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.49 / $44.10 / $105.00	Professional		$37.49	$44.10	$105.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $75.36 / $75.36 / $90.43	Professional		$75.36	$75.36	$90.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $61.72 / $72.00 / $138.86	Professional		$61.72	$72.00	$138.86
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $125.67 / $402.15 / $411.68	Facility		$125.67	$402.15	$411.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $29.99 / $56.71 / $109.55	Facility		$29.99	$56.71	$109.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $37.49 / $44.10 / $56.07	Professional		$37.49	$44.10	$56.07
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $171.92 / $171.92 / $171.92	Professional		$171.92	$171.92	$171.92
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $69.34 / $69.34 / $75.36	Professional		$69.34	$69.34	$75.36
United Facility/Professional Professional Modifier Low / Median / High Price $35.79 / $42.95 / $77.86	Professional		$35.79	$42.95	$77.86