Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.71 / $80.68 / $163.16	Professional		$61.71	$80.68	$163.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.58 / $11.72 / $270.23	Facility		$10.58	$11.72	$270.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $96.80 / $131.88 / $203.31	Professional		$96.80	$131.88	$203.31
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $254.21 / $254.21 / $254.21	Facility		$254.21	$254.21	$254.21
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $86.52 / $91.92 / $170.57	Professional		$86.52	$91.92	$170.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $115.90 / $115.90 / $170.57	Facility		$115.90	$115.90	$170.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.52 / $115.90 / $240.00	Professional		$98.52	$115.90	$240.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $160.91 / $160.91 / $193.09	Professional		$160.91	$160.91	$193.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $118.61 / $138.38 / $266.88	Professional		$118.61	$138.38	$266.88
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $196.42 / $782.36 / $782.36	Facility		$196.42	$782.36	$782.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $61.72 / $115.90 / $214.71	Facility		$61.72	$115.90	$214.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $98.52 / $115.90 / $144.38	Professional		$98.52	$115.90	$144.38
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $321.02 / $321.02 / $321.02	Professional		$321.02	$321.02	$321.02
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $126.70 / $126.70 / $160.91	Professional		$126.70	$126.70	$160.91
United Facility/Professional Professional Modifier Low / Median / High Price $83.39 / $89.04 / $214.71	Professional		$83.39	$89.04	$214.71