Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $30.20 / $204.17	Professional		$18.20	$30.20	$204.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.31 / $3.31 / $3.31	Facility		$3.31	$3.31	$3.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $42.66 / $134.90	Professional		$21.88	$42.66	$134.90
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $69.18 / $100.00	Facility		$69.18	$69.18	$100.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $46.77 / $199.53	Professional		$28.84	$46.77	$199.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $35.48 / $54.95	Facility		$35.48	$35.48	$54.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $35.48 / $63.10	Professional		$29.51	$35.48	$63.10
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $45.71 / $54.95	Professional		$45.71	$45.71	$54.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $39.81 / $69.18	Professional		$34.67	$39.81	$69.18
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $251.19 / $251.19	Facility		$100.00	$251.19	$251.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $35.48 / $60.26	Facility		$19.05	$35.48	$60.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $35.48 / $38.90	Professional		$29.51	$35.48	$38.90
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $102.33 / $102.33	Professional		$102.33	$102.33	$102.33
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $43.65 / $45.71	Professional		$43.65	$43.65	$45.71
United Facility/Professional Facility Modifier Low / Median / High Price $1.91 / $17.38 / $33.88	Facility		$1.91	$17.38	$33.88
United Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $26.92 / $58.88	Professional		$20.89	$26.92	$58.88