Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.69 / $24.49 / $65.28	Professional		$15.69	$24.49	$65.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.78 / $3.08 / $70.03	Facility		$2.78	$3.08	$70.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.14 / $32.54 / $53.98	Professional		$28.14	$32.54	$53.98
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $67.68 / $67.68 / $67.68	Facility		$67.68	$67.68	$67.68
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $21.24 / $24.02 / $45.41	Professional		$21.24	$24.02	$45.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.34 / $28.34 / $139.34	Facility		$28.34	$28.34	$139.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.09 / $24.09 / $56.25	Professional		$24.09	$24.09	$56.25
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $40.90 / $40.90 / $49.09	Professional		$40.90	$40.90	$49.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $30.42 / $35.49 / $68.45	Professional		$30.42	$35.49	$68.45
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $122.99 / $203.16 / $203.16	Facility		$122.99	$203.16	$203.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.65 / $29.77 / $57.17	Facility		$15.65	$29.77	$57.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $24.09 / $24.09 / $28.34	Professional		$24.09	$24.09	$28.34
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $83.89 / $83.89 / $83.89	Professional		$83.89	$83.89	$83.89
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $32.83 / $32.83 / $40.90	Professional		$32.83	$32.83	$40.90
United Facility/Professional Professional Modifier Low / Median / High Price $17.39 / $21.29 / $37.99	Professional		$17.39	$21.29	$37.99