Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.23 / $17.42 / $29.02	Professional		$11.23	$17.42	$29.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.99 / $2.21 / $56.62	Facility		$1.99	$2.21	$56.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.60 / $27.46 / $41.24	Professional		$20.60	$27.46	$41.24
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $47.19 / $47.19 / $47.19	Facility		$47.19	$47.19	$47.19
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $17.27 / $18.55 / $31.67	Professional		$17.27	$18.55	$31.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.73 / $22.73 / $35.83	Facility		$22.73	$22.73	$35.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.32 / $22.73 / $40.13	Professional		$19.32	$22.73	$40.13
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $26.61 / $26.61 / $31.93	Professional		$26.61	$26.61	$31.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $23.33 / $27.22 / $52.50	Professional		$23.33	$27.22	$52.50
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $162.68 / $162.68	Facility		$80.00	$162.68	$162.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.91 / $22.73 / $39.86	Facility		$10.91	$22.73	$39.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.32 / $22.73 / $27.71	Professional		$19.32	$22.73	$27.71
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $64.83 / $64.83 / $64.83	Professional		$64.83	$64.83	$64.83
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $26.54 / $26.54 / $26.61	Professional		$26.54	$26.54	$26.61
United Facility/Professional Professional Modifier Low / Median / High Price $13.09 / $16.09 / $25.33	Professional		$13.09	$16.09	$25.33