Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.08 / $68.59 / $418.93	Professional		$48.08	$68.59	$418.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.87 / $8.72 / $250.71	Facility		$7.87	$8.72	$250.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $86.80 / $93.00 / $139.11	Professional		$86.80	$93.00	$139.11
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 $78.47 / $80.45 / $118.25	Professional		$78.47	$80.45	$118.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.76 / $57.76 / $135.47	Facility		$57.76	$57.76	$135.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.10 / $57.76 / $154.50	Professional		$49.10	$57.76	$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 $213.05 / $652.16 / $697.92	Facility		$213.05	$652.16	$697.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $42.97 / $89.98 / $148.84	Facility		$42.97	$89.98	$148.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $49.10 / $57.76 / $91.40	Professional		$49.10	$57.76	$91.40
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $274.05 / $274.05 / $274.05	Professional		$274.05	$274.05	$274.05
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $106.53 / $106.53 / $117.54	Professional		$106.53	$106.53	$117.54
United Facility/Professional Professional Modifier Low / Median / High Price $52.22 / $66.56 / $124.11	Professional		$52.22	$66.56	$124.11