Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.53 / $56.39 / $109.29	Professional		$39.53	$56.39	$109.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.46 / $7.16 / $158.41	Facility		$6.46	$7.16	$158.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.19 / $91.09 / $154.13	Professional		$69.19	$91.09	$154.13
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $150.26 / $150.26 / $150.26	Facility		$150.26	$150.26	$150.26
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.82	Professional		$100.00	$100.00	$100.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.95 / $65.95 / $100.82	Facility		$65.95	$65.95	$100.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.07 / $65.95 / $114.38	Professional		$56.07	$65.95	$114.38
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $95.89 / $95.89 / $115.07	Professional		$95.89	$95.89	$115.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $70.69 / $82.47 / $159.04	Professional		$70.69	$82.47	$159.04
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $125.20 / $473.38 / $473.38	Facility		$125.20	$473.38	$473.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $40.99 / $70.52 / $126.90	Facility		$40.99	$70.52	$126.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $56.07 / $65.95 / $87.12	Professional		$56.07	$65.95	$87.12
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $188.68 / $188.68 / $188.68	Professional		$188.68	$188.68	$188.68
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $74.27 / $74.27 / $95.89	Professional		$74.27	$74.27	$95.89
United Facility/Professional Professional Modifier Low / Median / High Price $49.87 / $54.03 / $127.02	Professional		$49.87	$54.03	$127.02