Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.26 / $26.05 / $155.21	Professional		$18.26	$26.05	$155.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.99 / $3.31 / $90.88	Facility		$2.99	$3.31	$90.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.10 / $43.01 / $73.17	Professional		$33.10	$43.01	$73.17
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $69.41 / $69.41 / $69.41	Facility		$69.41	$69.41	$69.41
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $29.07 / $34.92 / $56.44	Professional		$29.07	$34.92	$56.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.11 / $35.11 / $65.53	Facility		$35.11	$35.11	$65.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.84 / $35.11 / $61.88	Professional		$29.84	$35.11	$61.88
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $45.51 / $45.51 / $54.61	Professional		$45.51	$45.51	$54.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $33.56 / $39.15 / $75.52	Professional		$33.56	$39.15	$75.52
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $82.74 / $251.92 / $252.99	Facility		$82.74	$251.92	$252.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.94 / $35.11 / $58.60	Facility		$18.94	$35.11	$58.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $29.84 / $35.11 / $38.88	Professional		$29.84	$35.11	$38.88
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $101.53 / $101.53 / $101.53	Professional		$101.53	$101.53	$101.53
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $42.61 / $42.61 / $45.51	Professional		$42.61	$42.61	$45.51
United Facility/Professional Professional Modifier Low / Median / High Price $26.84 / $27.31 / $61.25	Professional		$26.84	$27.31	$61.25