Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.87 / $28.35 / $45.89	Professional		$19.87	$28.35	$45.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.16 / $3.50 / $83.51	Facility		$3.16	$3.50	$83.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.13 / $45.56 / $62.50	Professional		$32.13	$45.56	$62.50
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $76.81 / $76.81 / $76.81	Facility		$76.81	$76.81	$76.81
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $28.20 / $32.10 / $62.18	Professional		$28.20	$32.10	$62.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.36 / $33.36 / $51.54	Facility		$33.36	$33.36	$51.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.36 / $33.36 / $58.50	Professional		$28.36	$33.36	$58.50
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $48.78 / $48.78 / $58.54	Professional		$48.78	$48.78	$58.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $35.96 / $41.95 / $80.91	Professional		$35.96	$41.95	$80.91
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $77.47 / $239.48 / $239.48	Facility		$77.47	$239.48	$239.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.61 / $34.89 / $64.88	Facility		$20.61	$34.89	$64.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $28.36 / $33.36 / $43.79	Professional		$28.36	$33.36	$43.79
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $98.49 / $98.49 / $98.49	Professional		$98.49	$98.49	$98.49
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $39.15 / $39.15 / $48.78	Professional		$39.15	$39.15	$48.78
United Facility/Professional Professional Modifier Low / Median / High Price $24.60 / $27.05 / $46.28	Professional		$24.60	$27.05	$46.28