Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.60 / $79.31 / $463.97	Professional		$55.60	$79.31	$463.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.10 / $10.08 / $267.99	Facility		$9.10	$10.08	$267.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $99.05 / $133.37 / $211.54	Professional		$99.05	$133.37	$211.54
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $214.91 / $214.91 / $214.91	Facility		$214.91	$214.91	$214.91
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $86.91 / $97.29 / $144.21	Professional		$86.91	$97.29	$144.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $111.50 / $111.50 / $144.21	Facility		$111.50	$111.50	$144.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.78 / $111.50 / $193.50	Professional		$94.78	$111.50	$193.50
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $144.21 / $144.21 / $173.05	Professional		$144.21	$144.21	$173.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $108.92 / $127.07 / $245.07	Professional		$108.92	$127.07	$245.07
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $208.51 / $782.12 / $782.12	Facility		$208.51	$782.12	$782.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $57.66 / $111.50 / $181.52	Facility		$57.66	$111.50	$181.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $94.78 / $111.50 / $125.11	Professional		$94.78	$111.50	$125.11
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $303.52 / $303.52 / $303.52	Professional		$303.52	$303.52	$303.52
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $125.65 / $125.65 / $144.21	Professional		$125.65	$125.65	$144.21
United Facility/Professional Professional Modifier Low / Median / High Price $69.19 / $81.40 / $132.43	Professional		$69.19	$81.40	$132.43