Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.39 / $26.04 / $147.86	Professional		$17.39	$26.04	$147.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.84 / $3.15 / $86.36	Facility		$2.84	$3.15	$86.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.53 / $41.00 / $64.94	Professional		$31.53	$41.00	$64.94
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.54 / $66.54 / $66.54	Facility		$66.54	$66.54	$66.54
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $27.70 / $28.59 / $53.90	Professional		$27.70	$28.59	$53.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.33 / $33.33 / $43.75	Facility		$33.33	$33.33	$43.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.33 / $33.33 / $55.88	Professional		$28.33	$33.33	$55.88
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $35.89 / $35.89 / $43.07	Professional		$35.89	$35.89	$43.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $32.04 / $37.39 / $72.09	Professional		$32.04	$37.39	$72.09
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $93.48 / $240.40 / $240.40	Facility		$93.48	$240.40	$240.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.04 / $33.78 / $56.21	Facility		$18.04	$33.78	$56.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $28.33 / $33.33 / $39.78	Professional		$28.33	$33.33	$39.78
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $96.72 / $96.72 / $96.72	Professional		$96.72	$96.72	$96.72
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $35.89 / $35.89 / $40.49	Professional		$35.89	$35.89	$40.49
United Facility/Professional Professional Modifier Low / Median / High Price $24.08 / $25.83 / $55.43	Professional		$24.08	$25.83	$55.43