Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $22.91 / $141.25	Professional		$12.88	$22.91	$141.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.51 / $2.51 / $2.51	Facility		$2.51	$2.51	$2.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $33.11 / $89.13	Professional		$16.98	$33.11	$89.13
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $53.70 / $70.79	Facility		$53.70	$53.70	$70.79
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $35.48 / $141.25	Professional		$20.89	$35.48	$141.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $26.92 / $35.48	Facility		$26.92	$26.92	$35.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $26.92 / $48.98	Professional		$22.91	$26.92	$48.98
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $38.90	Professional		$32.36	$32.36	$38.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $32.36 / $54.95	Professional		$27.54	$32.36	$54.95
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $194.98 / $194.98	Facility		$100.00	$194.98	$194.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $26.92 / $45.71	Facility		$12.59	$26.92	$45.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $26.92 / $33.11	Professional		$22.91	$26.92	$33.11
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $72.44 / $72.44	Professional		$72.44	$72.44	$72.44
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $30.90 / $32.36	Professional		$30.90	$30.90	$32.36
United Facility/Professional Facility Modifier Low / Median / High Price $1.23 / $11.48 / $23.99	Facility		$1.23	$11.48	$23.99
United Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $19.50 / $38.90	Professional		$14.45	$19.50	$38.90