Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.98 / $20.92 / $111.87	Professional		$13.98	$20.92	$111.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.27 / $2.52 / $63.99	Facility		$2.27	$2.52	$63.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.34 / $30.56 / $41.28	Professional		$25.34	$30.56	$41.28
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $53.11 / $53.11 / $53.11	Facility		$53.11	$53.11	$53.11
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $19.45 / $20.96 / $35.65	Professional		$19.45	$20.96	$35.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.09 / $27.09 / $35.65	Facility		$27.09	$27.09	$35.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.03 / $27.09 / $48.00	Professional		$23.03	$27.09	$48.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $32.10 / $32.10 / $38.52	Professional		$32.10	$32.10	$38.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $26.93 / $31.42 / $60.59	Professional		$26.93	$31.42	$60.59
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $76.00 / $194.27 / $194.27	Facility		$76.00	$194.27	$194.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.50 / $27.09 / $44.87	Facility		$12.50	$27.09	$44.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $23.03 / $27.09 / $32.74	Professional		$23.03	$27.09	$32.74
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $73.18 / $73.18 / $73.18	Professional		$73.18	$73.18	$73.18
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $32.10	Professional		$30.00	$30.00	$32.10
United Facility/Professional Professional Modifier Low / Median / High Price $15.27 / $19.34 / $33.14	Professional		$15.27	$19.34	$33.14