Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.31 / $40.39 / $69.45	Professional		$28.31	$40.39	$69.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.62 / $5.12 / $113.45	Facility		$4.62	$5.12	$113.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.62 / $64.88 / $89.04	Professional		$48.62	$64.88	$89.04
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $109.43 / $109.43 / $109.43	Facility		$109.43	$109.43	$109.43
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $45.06 / $82.06	Professional		$38.90	$45.06	$82.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.18 / $46.18 / $73.44	Facility		$46.18	$46.18	$73.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.25 / $46.18 / $80.25	Professional		$39.25	$46.18	$80.25
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $68.50 / $68.50 / $82.20	Professional		$68.50	$68.50	$82.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $50.48 / $58.89 / $113.58	Professional		$50.48	$58.89	$113.58
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $331.44 / $331.44	Facility		$100.00	$331.44	$331.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $29.36 / $46.34 / $92.45	Facility		$29.36	$46.34	$92.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $39.25 / $46.18 / $59.29	Professional		$39.25	$46.18	$59.29
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $135.85 / $135.85 / $135.85	Professional		$135.85	$135.85	$135.85
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $53.19 / $53.19 / $68.50	Professional		$53.19	$53.19	$68.50
United Facility/Professional Professional Modifier Low / Median / High Price $35.04 / $36.89 / $61.53	Professional		$35.04	$36.89	$61.53