Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.48 / $24.61 / $43.87	Professional		$16.48	$24.61	$43.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.93 / $3.25 / $81.94	Facility		$2.93	$3.25	$81.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.40 / $38.65 / $60.90	Professional		$31.40	$38.65	$60.90
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $69.22 / $69.22 / $69.22	Facility		$69.22	$69.22	$69.22
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $24.92 / $26.98 / $46.45	Professional		$24.92	$26.98	$46.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.91 / $31.91 / $41.89	Facility		$31.91	$31.91	$41.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.12 / $31.91 / $60.00	Professional		$27.12	$31.91	$60.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $41.85 / $41.85 / $50.22	Professional		$41.85	$41.85	$50.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $33.34 / $38.89 / $75.01	Professional		$33.34	$38.89	$75.01
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $76.00 / $228.57 / $228.57	Facility		$76.00	$228.57	$228.57
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.01 / $31.91 / $58.45	Facility		$16.01	$31.91	$58.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $27.12 / $31.91 / $38.77	Professional		$27.12	$31.91	$38.77
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $94.20 / $94.20 / $94.20	Professional		$94.20	$94.20	$94.20
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $38.42 / $38.42 / $41.85	Professional		$38.42	$38.42	$41.85
United Facility/Professional Professional Modifier Low / Median / High Price $19.21 / $22.93 / $42.66	Professional		$19.21	$22.93	$42.66