Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.93 / $27.00 / $52.35	Professional		$18.93	$27.00	$52.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.10 / $3.43 / $101.81	Facility		$3.10	$3.43	$101.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.31 / $43.62 / $59.71	Professional		$34.31	$43.62	$59.71
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $73.15 / $73.15 / $73.15	Facility		$73.15	$73.15	$73.15
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $32.04 / $32.50 / $61.24	Professional		$32.04	$32.50	$61.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.06 / $39.06 / $51.26	Facility		$39.06	$39.06	$51.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.20 / $39.06 / $69.00	Professional		$33.20	$39.06	$69.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $49.09 / $49.09 / $58.91	Professional		$49.09	$49.09	$58.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $36.44 / $42.51 / $81.99	Professional		$36.44	$42.51	$81.99
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $92.69 / $280.24 / $283.43	Facility		$92.69	$280.24	$283.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.63 / $39.06 / $61.78	Facility		$19.63	$39.06	$61.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $33.20 / $39.06 / $46.90	Professional		$33.20	$39.06	$46.90
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $111.93 / $111.93 / $111.93	Professional		$111.93	$111.93	$111.93
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $47.74 / $47.74 / $49.09	Professional		$47.74	$47.74	$49.09
United Facility/Professional Professional Modifier Low / Median / High Price $23.86 / $29.59 / $43.38	Professional		$23.86	$29.59	$43.38