Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.44 / $69.09 / $386.52	Professional		$48.44	$69.09	$386.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.79 / $8.63 / $219.24	Facility		$7.79	$8.63	$219.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $86.31 / $111.61 / $197.47	Professional		$86.31	$111.61	$197.47
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $187.22 / $187.22 / $187.22	Facility		$187.22	$187.22	$187.22
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $72.40 / $81.51 / $125.63	Professional		$72.40	$81.51	$125.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $88.16 / $88.16 / $125.63	Facility		$88.16	$88.16	$125.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.94 / $88.16 / $157.13	Professional		$74.94	$88.16	$157.13
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $123.87 / $123.87 / $148.63	Professional		$123.87	$123.87	$148.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $91.37 / $106.60 / $205.58	Professional		$91.37	$106.60	$205.58
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $169.26 / $632.74 / $632.74	Facility		$169.26	$632.74	$632.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $50.22 / $88.16 / $158.15	Facility		$50.22	$88.16	$158.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $74.94 / $88.16 / $102.18	Professional		$74.94	$88.16	$102.18
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $252.85 / $252.85 / $252.85	Professional		$252.85	$252.85	$252.85
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $102.79 / $102.79 / $123.87	Professional		$102.79	$102.79	$123.87
United Facility/Professional Professional Modifier Low / Median / High Price $59.95 / $66.83 / $114.51	Professional		$59.95	$66.83	$114.51