Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.85 / $26.89 / $47.86	Professional		$18.85	$26.89	$47.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.55 / $3.93 / $98.03	Facility		$3.55	$3.93	$98.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.27 / $43.44 / $64.11	Professional		$39.27	$43.44	$64.11
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $71.64 / $71.64 / $71.64	Facility		$71.64	$71.64	$71.64
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $30.99 / $37.29 / $59.48	Professional		$30.99	$37.29	$59.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.17 / $37.64 / $48.07	Facility		$35.17	$37.64	$48.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.99 / $37.64 / $66.75	Professional		$31.99	$37.64	$66.75
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $38.46 / $38.46 / $46.15	Professional		$38.46	$38.46	$46.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $35.39 / $41.29 / $79.62	Professional		$35.39	$41.29	$79.62
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $89.23 / $270.08 / $272.89	Facility		$89.23	$270.08	$272.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.55 / $37.64 / $60.52	Facility		$19.55	$37.64	$60.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $31.99 / $37.64 / $38.77	Professional		$31.99	$37.64	$38.77
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $108.23 / $108.23 / $108.23	Professional		$108.23	$108.23	$108.23
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $38.46 / $38.46 / $45.96	Professional		$38.46	$38.46	$45.96
United Facility/Professional Professional Modifier Low / Median / High Price $23.34 / $28.61 / $50.85	Professional		$23.34	$28.61	$50.85