Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.09 / $73.47 / $397.32	Professional		$49.09	$73.47	$397.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.02 / $8.90 / $226.68	Facility		$8.02	$8.90	$226.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $88.97 / $113.82 / $174.72	Professional		$88.97	$113.82	$174.72
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $189.74 / $189.74 / $189.74	Facility		$189.74	$189.74	$189.74
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $68.69 / $74.43 / $127.32	Professional		$68.69	$74.43	$127.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $80.29 / $93.52 / $127.32	Facility		$80.29	$93.52	$127.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.48 / $93.52 / $172.50	Professional		$79.48	$93.52	$172.50
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $114.70 / $114.70 / $137.63	Professional		$114.70	$114.70	$137.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $94.88 / $110.69 / $213.48	Professional		$94.88	$110.69	$213.48
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $185.86 / $671.25 / $671.25	Facility		$185.86	$671.25	$671.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $43.88 / $93.52 / $160.28	Facility		$43.88	$93.52	$160.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.48 / $93.52 / $112.00	Professional		$79.48	$93.52	$112.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $259.91 / $259.91 / $259.91	Professional		$259.91	$259.91	$259.91
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $106.28 / $106.28 / $114.70	Professional		$106.28	$106.28	$114.70
United Facility/Professional Professional Modifier Low / Median / High Price $53.31 / $68.65 / $122.12	Professional		$53.31	$68.65	$122.12