Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.09 / $23.17 / $131.58	Professional		$15.09	$23.17	$131.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.65 / $2.94 / $75.11	Facility		$2.65	$2.94	$75.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.43 / $33.83 / $46.70	Professional		$29.43	$33.83	$46.70
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $62.77 / $62.77 / $62.77	Facility		$62.77	$62.77	$62.77
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $24.65 / $42.12	Professional		$22.91	$24.65	$42.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.64 / $30.64 / $42.12	Facility		$30.64	$30.64	$42.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.04 / $26.04 / $67.50	Professional		$26.04	$26.04	$67.50
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $37.94 / $37.94 / $45.53	Professional		$37.94	$37.94	$45.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $31.22 / $36.43 / $70.25	Professional		$31.22	$36.43	$70.25
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $76.00 / $219.96 / $219.96	Facility		$76.00	$219.96	$219.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.51 / $30.64 / $53.00	Facility		$14.51	$30.64	$53.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $26.04 / $26.04 / $30.64	Professional		$26.04	$26.04	$30.64
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $86.07 / $86.07 / $86.07	Professional		$86.07	$86.07	$86.07
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $35.22 / $35.22 / $37.94	Professional		$35.22	$35.22	$37.94
United Facility/Professional Professional Modifier Low / Median / High Price $17.73 / $22.75 / $35.28	Professional		$17.73	$22.75	$35.28