Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.49 / $58.09 / $88.94	Professional		$37.49	$58.09	$88.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.66 / $7.38 / $7.38	Facility		$6.66	$7.38	$7.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.54 / $79.34 / $128.08	Professional		$64.54	$79.34	$128.08
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $50.40 / $56.65 / $105.62	Professional		$50.40	$56.65	$105.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.39 / $66.39 / $164.04	Facility		$66.39	$66.39	$164.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.43 / $56.43 / $144.84	Professional		$56.43	$56.43	$144.84
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $77.14 / $77.14 / $92.57	Professional		$77.14	$77.14	$92.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $71.31 / $83.21 / $160.47	Professional		$71.31	$83.21	$160.47
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $124.81 / $476.05 / $476.05	Facility		$124.81	$476.05	$476.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $36.40 / $67.59 / $132.97	Facility		$36.40	$67.59	$132.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $56.43 / $56.43 / $66.39	Professional		$56.43	$56.43	$66.39
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $197.83 / $197.83 / $197.83	Professional		$197.83	$197.83	$197.83
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $77.14 / $77.14 / $77.90	Professional		$77.14	$77.14	$77.90
United Facility/Professional Professional Modifier Low / Median / High Price $42.46 / $48.26 / $92.95	Professional		$42.46	$48.26	$92.95