Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.12 / $28.70 / $157.71	Professional		$20.12	$28.70	$157.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.29 / $3.65 / $88.80	Facility		$3.29	$3.65	$88.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.76 / $46.11 / $63.28	Professional		$35.76	$46.11	$63.28
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $77.77 / $77.77 / $77.77	Facility		$77.77	$77.77	$77.77
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $29.54 / $39.15 / $60.70	Professional		$29.54	$39.15	$60.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.40 / $34.40 / $52.18	Facility		$34.40	$34.40	$52.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.25 / $34.40 / $61.88	Professional		$29.25	$34.40	$61.88
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $49.83 / $49.83 / $59.80	Professional		$49.83	$49.83	$59.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $36.74 / $42.86 / $82.66	Professional		$36.74	$42.86	$82.66
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $80.84 / $247.01 / $247.19	Facility		$80.84	$247.01	$247.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.87 / $34.40 / $65.69	Facility		$20.87	$34.40	$65.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $29.25 / $34.40 / $45.17	Professional		$29.25	$34.40	$45.17
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $103.17 / $103.17 / $103.17	Professional		$103.17	$103.17	$103.17
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $41.63 / $41.63 / $49.83	Professional		$41.63	$41.63	$49.83
United Facility/Professional Facility Modifier Low / Median / High Price $2.25 / $21.40 / $32.11	Facility		$2.25	$21.40	$32.11
United Facility/Professional Professional Modifier Low / Median / High Price $24.35 / $25.69 / $46.72	Professional		$24.35	$25.69	$46.72