Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.08 / $68.59 / $424.97	Professional		$48.08	$68.59	$424.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.87 / $8.72 / $253.98	Facility		$7.87	$8.72	$253.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $86.80 / $93.66 / $143.32	Professional		$86.80	$93.66	$143.32
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $176.22 / $176.22 / $176.22	Facility		$176.22	$176.22	$176.22
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $79.61 / $80.45 / $118.25	Professional		$79.61	$80.45	$118.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $96.42 / $96.42 / $135.47	Facility		$96.42	$96.42	$135.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.96 / $96.42 / $154.50	Professional		$81.96	$96.42	$154.50
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $106.53 / $106.53 / $127.84	Professional		$106.53	$106.53	$127.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $89.31 / $104.20 / $200.95	Professional		$89.31	$104.20	$200.95
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $215.83 / $671.07 / $707.04	Facility		$215.83	$671.07	$707.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $42.97 / $96.42 / $148.85	Facility		$42.97	$96.42	$148.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $81.96 / $96.42 / $102.60	Professional		$81.96	$96.42	$102.60
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $278.00 / $278.00 / $278.00	Professional		$278.00	$278.00	$278.00
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $106.53 / $106.53 / $119.08	Professional		$106.53	$106.53	$119.08
United Facility/Professional Professional Modifier Low / Median / High Price $52.12 / $66.56 / $103.59	Professional		$52.12	$66.56	$103.59