Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.55 / $27.77 / $150.91	Professional		$18.55	$27.77	$150.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.03 / $3.36 / $86.87	Facility		$3.03	$3.36	$86.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.63 / $43.47 / $69.19	Professional		$33.63	$43.47	$69.19
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $70.50 / $70.50 / $70.50	Facility		$70.50	$70.50	$70.50
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $28.27 / $31.81 / $56.97	Professional		$28.27	$31.81	$56.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.56 / $35.56 / $47.31	Facility		$35.56	$35.56	$47.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.23 / $35.56 / $63.00	Professional		$30.23	$35.56	$63.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $42.62 / $42.62 / $51.14	Professional		$42.62	$42.62	$51.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $35.67 / $41.62 / $80.26	Professional		$35.67	$41.62	$80.26
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $81.75 / $255.06 / $255.06	Facility		$81.75	$255.06	$255.06
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.57 / $35.56 / $59.55	Facility		$16.57	$35.56	$59.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $30.23 / $35.56 / $41.60	Professional		$30.23	$35.56	$41.60
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $98.72 / $98.72 / $98.72	Professional		$98.72	$98.72	$98.72
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $40.72 / $40.72 / $42.62	Professional		$40.72	$40.72	$42.62
United Facility/Professional Professional Modifier Low / Median / High Price $19.89 / $26.09 / $44.71	Professional		$19.89	$26.09	$44.71