Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.78 / $22.51 / $143.52	Professional		$15.78	$22.51	$143.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.58 / $2.86 / $85.59	Facility		$2.58	$2.86	$85.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.61 / $37.93 / $59.26	Professional		$28.61	$37.93	$59.26
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $61.00 / $61.00 / $61.00	Facility		$61.00	$61.00	$61.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $26.88 / $30.68 / $51.26	Professional		$26.88	$30.68	$51.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.79 / $32.79 / $40.93	Facility		$32.79	$32.79	$40.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.87 / $32.79 / $58.13	Professional		$27.87	$32.79	$58.13
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $40.93 / $40.93 / $49.12	Professional		$40.93	$40.93	$49.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $30.50 / $35.59 / $68.63	Professional		$30.50	$35.59	$68.63
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $235.26 / $238.26	Facility		$80.00	$235.26	$238.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.37 / $32.79 / $51.54	Facility		$16.37	$32.79	$51.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $27.87 / $32.79 / $33.77	Professional		$27.87	$32.79	$33.77
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $93.88 / $93.88 / $93.88	Professional		$93.88	$93.88	$93.88
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $40.13 / $40.13 / $40.93	Professional		$40.13	$40.13	$40.93
United Facility/Professional Professional Modifier Low / Median / High Price $23.08 / $24.82 / $42.52	Professional		$23.08	$24.82	$42.52