Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.32 / $54.25 / $169.70	Professional		$43.32	$54.25	$169.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.98 / $5.52 / $5.52	Facility		$4.98	$5.52	$5.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.20 / $80.28 / $139.54	Professional		$55.20	$80.28	$139.54
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $104.68	Professional		$100.00	$100.00	$104.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.45 / $57.45 / $159.91	Facility		$57.45	$57.45	$159.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.83 / $57.45 / $101.47	Professional		$48.83	$57.45	$101.47
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $91.17 / $91.17 / $109.40	Professional		$91.17	$91.17	$109.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $67.12 / $78.31 / $151.02	Professional		$67.12	$78.31	$151.02
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $140.85 / $411.79 / $411.79	Facility		$140.85	$411.79	$411.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $44.92 / $69.31 / $131.77	Facility		$44.92	$69.31	$131.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $48.83 / $57.45 / $75.92	Professional		$48.83	$57.45	$75.92
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $177.19 / $177.19 / $177.19	Professional		$177.19	$177.19	$177.19
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $66.34 / $66.34 / $91.17	Professional		$66.34	$66.34	$91.17
United Facility/Professional Professional Modifier Low / Median / High Price $43.33 / $50.58 / $88.07	Professional		$43.33	$50.58	$88.07