Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.03 / $59.86 / $299.43	Professional		$39.03	$59.86	$299.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.87 / $7.61 / $173.36	Facility		$6.87	$7.61	$173.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.00 / $89.13 / $126.29	Professional		$69.00	$89.13	$126.29
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $137.88 / $137.88 / $137.88	Facility		$137.88	$137.88	$137.88
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $52.92 / $56.09 / $96.52	Professional		$52.92	$56.09	$96.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $73.04 / $73.04 / $95.86	Facility		$73.04	$73.04	$95.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.08 / $73.04 / $132.38	Professional		$62.08	$73.04	$132.38
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $81.48 / $81.48 / $97.78	Professional		$81.48	$81.48	$97.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $69.87 / $81.52 / $157.21	Professional		$69.87	$81.52	$157.21
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $147.29 / $523.65 / $523.65	Facility		$147.29	$523.65	$523.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $37.51 / $73.04 / $116.46	Facility		$37.51	$73.04	$116.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $62.08 / $73.04 / $88.31	Professional		$62.08	$73.04	$88.31
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $195.87 / $195.87 / $195.87	Professional		$195.87	$195.87	$195.87
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $81.48	Professional		$81.28	$81.28	$81.48
United Facility/Professional Facility Modifier Low / Median / High Price $4.70 / $39.39 / $65.42	Facility		$4.70	$39.39	$65.42
United Facility/Professional Professional Modifier Low / Median / High Price $45.01 / $53.72 / $88.71	Professional		$45.01	$53.72	$88.71