Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.38 / $56.75 / $228.48	Professional		$41.38	$56.75	$228.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.69 / $6.30 / $152.91	Facility		$5.69	$6.30	$152.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.00 / $95.34 / $136.03	Professional		$63.00	$95.34	$136.03
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $157.26 / $157.26 / $157.26	Facility		$157.26	$157.26	$157.26
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $53.55 / $53.55 / $105.53	Professional		$53.55	$53.55	$105.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.80 / $60.80 / $105.53	Facility		$60.80	$60.80	$105.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.68 / $60.80 / $105.00	Professional		$51.68	$60.80	$105.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $94.85 / $94.85 / $113.82	Professional		$94.85	$94.85	$113.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $69.86 / $81.51 / $157.19	Professional		$69.86	$81.51	$157.19
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $139.76 / $436.04 / $436.04	Facility		$139.76	$436.04	$436.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $42.90 / $67.34 / $132.84	Facility		$42.90	$67.34	$132.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $51.68 / $60.80 / $86.00	Professional		$51.68	$60.80	$86.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $187.00 / $187.00 / $187.00	Professional		$187.00	$187.00	$187.00
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $71.70 / $71.70 / $94.85	Professional		$71.70	$71.70	$94.85
United Facility/Professional Professional Modifier Low / Median / High Price $47.77 / $51.21 / $84.69	Professional		$47.77	$51.21	$84.69