Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.81 / $59.24 / $104.04	Professional		$43.81	$59.24	$104.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.34 / $7.03 / $153.81	Facility		$6.34	$7.03	$153.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.28 / $100.90 / $143.97	Professional		$70.28	$100.90	$143.97
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $166.50 / $166.50 / $166.50	Facility		$166.50	$166.50	$166.50
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $81.50 / $81.50 / $111.72	Professional		$81.50	$81.50	$111.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.78 / $60.78 / $111.72	Facility		$60.78	$60.78	$111.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.66 / $51.66 / $136.88	Professional		$51.66	$51.66	$136.88
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $97.90 / $97.90 / $117.48	Professional		$97.90	$97.90	$117.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $72.08 / $84.10 / $162.19	Professional		$72.08	$84.10	$162.19
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $138.90 / $435.85 / $435.85	Facility		$138.90	$435.85	$435.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $45.43 / $70.30 / $140.63	Facility		$45.43	$70.30	$140.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $51.66 / $60.78 / $79.77	Professional		$51.66	$60.78	$79.77
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $191.40 / $191.40 / $191.40	Professional		$191.40	$191.40	$191.40
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $72.11 / $72.11 / $97.90	Professional		$72.11	$72.11	$97.90
United Facility/Professional Professional Modifier Low / Median / High Price $47.52 / $54.52 / $89.93	Professional		$47.52	$54.52	$89.93