Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.17 / $24.19 / $152.26	Professional		$16.17	$24.19	$152.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.64 / $2.93 / $90.04	Facility		$2.64	$2.93	$90.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.30 / $37.25 / $52.77	Professional		$29.30	$37.25	$52.77
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $62.48 / $62.48 / $62.48	Facility		$62.48	$62.48	$62.48
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $28.52 / $31.44 / $54.09	Professional		$28.52	$31.44	$54.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.44 / $24.44 / $41.92	Facility		$24.44	$24.44	$41.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.77 / $24.44 / $61.13	Professional		$20.77	$24.44	$61.13
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $41.92 / $41.92 / $50.30	Professional		$41.92	$41.92	$50.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $31.66 / $36.94 / $71.23	Professional		$31.66	$36.94	$71.23
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $82.45 / $247.53 / $250.66	Facility		$82.45	$247.53	$250.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.76 / $32.90 / $52.77	Facility		$16.76	$32.90	$52.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.77 / $24.44 / $35.19	Professional		$20.77	$24.44	$35.19
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $99.60 / $99.60 / $99.60	Professional		$99.60	$99.60	$99.60
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $41.92 / $41.92 / $42.22	Professional		$41.92	$41.92	$42.22
United Facility/Professional Professional Modifier Low / Median / High Price $20.61 / $26.33 / $38.21	Professional		$20.61	$26.33	$38.21