Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.53 / $33.71 / $185.19	Professional		$24.53	$33.71	$185.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.94 / $4.37 / $102.53	Facility		$3.94	$4.37	$102.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.13 / $52.09 / $99.76	Professional		$42.13	$52.09	$99.76
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $94.82 / $94.82 / $94.82	Facility		$94.82	$94.82	$94.82
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $34.69 / $47.73 / $72.11	Professional		$34.69	$47.73	$72.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.67 / $42.67 / $161.97	Facility		$42.67	$42.67	$161.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.27 / $42.67 / $70.13	Professional		$36.27	$42.67	$70.13
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $60.38 / $60.38 / $72.45	Professional		$60.38	$60.38	$72.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $44.51 / $51.93 / $100.14	Professional		$44.51	$51.93	$100.14
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $97.25 / $305.83 / $305.83	Facility		$97.25	$305.83	$305.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $25.44 / $42.67 / $80.06	Facility		$25.44	$42.67	$80.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $36.27 / $42.67 / $56.01	Professional		$36.27	$42.67	$56.01
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $121.14 / $121.14 / $121.14	Professional		$121.14	$121.14	$121.14
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $48.07 / $48.07 / $60.38	Professional		$48.07	$48.07	$60.38
United Facility/Professional Professional Modifier Low / Median / High Price $30.27 / $32.79 / $64.76	Professional		$30.27	$32.79	$64.76