Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.52 / $77.77 / $113.55	Professional		$55.52	$77.77	$113.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.21 / $9.10 / $202.38	Facility		$8.21	$9.10	$202.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.00 / $127.90 / $148.11	Professional		$91.00	$127.90	$148.11
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $210.98 / $210.98 / $210.98	Facility		$210.98	$210.98	$210.98
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $71.19 / $83.51 / $141.57	Professional		$71.19	$83.51	$141.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.17 / $81.17 / $141.57	Facility		$81.17	$81.17	$141.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.98 / $81.17 / $144.38	Professional		$68.98	$81.17	$144.38
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $126.97 / $126.97 / $152.36	Professional		$126.97	$126.97	$152.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $93.52 / $109.10 / $210.41	Professional		$93.52	$109.10	$210.41
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $166.29 / $582.10 / $582.10	Facility		$166.29	$582.10	$582.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $57.57 / $87.63 / $178.21	Facility		$57.57	$87.63	$178.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $68.98 / $81.17 / $104.22	Professional		$68.98	$81.17	$104.22
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $248.63 / $248.63 / $248.63	Professional		$248.63	$248.63	$248.63
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $94.89 / $94.89 / $126.97	Professional		$94.89	$94.89	$126.97
United Facility/Professional Professional Modifier Low / Median / High Price $61.50 / $69.78 / $176.27	Professional		$61.50	$69.78	$176.27