Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $32.36 / $218.78	Professional		$18.20	$32.36	$218.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.89 / $3.89 / $3.89	Facility		$3.89	$3.89	$3.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $45.71 / $120.23	Professional		$22.91	$45.71	$120.23
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $72.44 / $107.15	Facility		$72.44	$72.44	$107.15
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $47.86 / $213.80	Professional		$30.90	$47.86	$213.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $38.02 / $39.81	Facility		$35.48	$38.02	$39.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $38.02 / $67.61	Professional		$32.36	$38.02	$67.61
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $38.90 / $45.71	Professional		$38.90	$38.90	$45.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $42.66 / $72.44	Professional		$36.31	$42.66	$72.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $275.42 / $275.42	Facility		$100.00	$275.42	$275.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $38.02 / $61.66	Facility		$19.50	$38.02	$61.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $34.67 / $38.90	Professional		$32.36	$34.67	$38.90
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $107.15 / $107.15	Professional		$107.15	$107.15	$107.15
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $38.90 / $46.77	Professional		$38.90	$38.90	$46.77
United Facility/Professional Facility Modifier Low / Median / High Price $1.95 / $17.78 / $37.15	Facility		$1.95	$17.78	$37.15
United Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $28.84 / $57.54	Professional		$22.39	$28.84	$57.54