Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.36 / $56.16 / $364.59	Professional		$39.36	$56.16	$364.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.43 / $7.13 / $215.63	Facility		$6.43	$7.13	$215.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.34 / $85.00 / $127.74	Professional		$71.34	$85.00	$127.74
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $149.61 / $149.61 / $149.61	Facility		$149.61	$149.61	$149.61
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $68.30 / $68.30 / $100.39	Professional		$68.30	$68.30	$100.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $78.94 / $78.94 / $100.39	Facility		$78.94	$78.94	$100.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.09 / $67.09 / $186.09	Professional		$67.09	$67.09	$186.09
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $90.44 / $90.44 / $108.53	Professional		$90.44	$90.44	$108.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $75.81 / $88.46 / $170.60	Professional		$75.81	$88.46	$170.60
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $183.24 / $599.70 / $600.26	Facility		$183.24	$599.70	$600.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $35.18 / $81.90 / $126.38	Facility		$35.18	$81.90	$126.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $35.18 / $67.09 / $78.94	Professional		$35.18	$67.09	$78.94
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $238.50 / $238.50 / $238.50	Professional		$238.50	$238.50	$238.50
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $90.44 / $90.44 / $101.10	Professional		$90.44	$90.44	$101.10
United Facility/Professional Professional Modifier Low / Median / High Price $49.21 / $62.49 / $127.49	Professional		$49.21	$62.49	$127.49