Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.10 / $40.08 / $208.34	Professional		$28.10	$40.08	$208.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.59 / $5.09 / $115.31	Facility		$4.59	$5.09	$115.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.49 / $64.40 / $91.90	Professional		$50.49	$64.40	$91.90
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $106.78 / $106.78 / $106.78	Facility		$106.78	$106.78	$106.78
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $39.03 / $53.74 / $81.41	Professional		$39.03	$53.74	$81.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.02 / $48.02 / $71.65	Facility		$48.02	$48.02	$71.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.82 / $48.02 / $82.13	Professional		$40.82	$48.02	$82.13
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $57.32 / $57.32 / $68.78	Professional		$57.32	$57.32	$68.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $50.86 / $59.34 / $114.44	Professional		$50.86	$59.34	$114.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $344.64 / $344.64	Facility		$100.00	$344.64	$344.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $29.14 / $49.08 / $90.18	Facility		$29.14	$49.08	$90.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $40.82 / $48.02 / $59.40	Professional		$40.82	$48.02	$59.40
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $136.29 / $136.29 / $136.29	Professional		$136.29	$136.29	$136.29
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $54.06 / $54.06 / $57.32	Professional		$54.06	$54.06	$57.32
United Facility/Professional Professional Modifier Low / Median / High Price $34.78 / $37.70 / $64.04	Professional		$34.78	$37.70	$64.04