Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.92 / $77.80 / $197.68	Professional		$55.92	$77.80	$197.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.56 / $9.48 / $203.95	Facility		$8.56	$9.48	$203.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $94.83 / $116.42 / $194.04	Professional		$94.83	$116.42	$194.04
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $216.12 / $216.12 / $216.12	Facility		$216.12	$216.12	$216.12
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $145.01	Professional		$100.00	$100.00	$145.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.62 / $81.62 / $145.01	Facility		$81.62	$81.62	$145.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.38 / $81.62 / $147.75	Professional		$69.38	$81.62	$147.75
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $129.02 / $129.02 / $154.82	Professional		$129.02	$129.02	$154.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $95.02 / $110.85 / $213.79	Professional		$95.02	$110.85	$213.79
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $167.50 / $585.33 / $585.33	Facility		$167.50	$585.33	$585.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $57.98 / $90.95 / $182.54	Facility		$57.98	$90.95	$182.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $69.38 / $81.62 / $107.12	Professional		$69.38	$81.62	$107.12
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $251.94 / $251.94 / $251.94	Professional		$251.94	$251.94	$251.94
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $95.62 / $95.62 / $129.02	Professional		$95.62	$95.62	$129.02
United Facility/Professional Professional Modifier Low / Median / High Price $63.90 / $69.81 / $114.10	Professional		$63.90	$69.81	$114.10