Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.50 / $99.14 / $260.10	Professional		$69.50	$99.14	$260.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.18 / $12.39 / $294.58	Facility		$11.18	$12.39	$294.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.85 / $160.10 / $218.59	Professional		$123.85	$160.10	$218.59
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $268.62 / $268.62 / $268.62	Facility		$268.62	$268.62	$268.62
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $131.50 / $180.25	Professional		$100.00	$131.50	$180.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $115.51 / $115.51 / $180.25	Facility		$115.51	$115.51	$180.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.18 / $115.51 / $205.50	Professional		$98.18	$115.51	$205.50
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $169.68 / $169.68 / $203.62	Professional		$169.68	$169.68	$203.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $125.07 / $145.91 / $281.41	Professional		$125.07	$145.91	$281.41
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $221.45 / $829.11 / $829.11	Facility		$221.45	$829.11	$829.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $72.06 / $122.61 / $226.91	Facility		$72.06	$122.61	$226.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $98.18 / $115.51 / $138.02	Professional		$98.18	$115.51	$138.02
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $346.56 / $346.56 / $346.56	Professional		$346.56	$346.56	$346.56
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $138.11 / $138.11 / $169.68	Professional		$138.11	$138.11	$169.68
United Facility/Professional Professional Modifier Low / Median / High Price $80.08 / $93.96 / $156.94	Professional		$80.08	$93.96	$156.94