Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.53 / $15.76 / $93.27	Professional		$10.53	$15.76	$93.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.98 / $2.19 / $55.40	Facility		$1.98	$2.19	$55.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.95 / $24.26 / $34.61	Professional		$21.95	$24.26	$34.61
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $40.04 / $40.04 / $40.04	Facility		$40.04	$40.04	$40.04
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $17.47 / $20.85 / $33.42	Professional		$17.47	$20.85	$33.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.66 / $21.27 / $26.87	Facility		$19.66	$21.27	$26.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.07 / $21.27 / $37.50	Professional		$18.07	$21.27	$37.50
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $21.50 / $21.50 / $25.80	Professional		$21.50	$21.50	$25.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $19.89 / $23.21 / $44.75	Professional		$19.89	$23.21	$44.75
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $76.00 / $152.57 / $154.22	Facility		$76.00	$152.57	$154.22
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.92 / $21.27 / $33.84	Facility		$10.92	$21.27	$33.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.07 / $21.27 / $24.70	Professional		$18.07	$21.27	$24.70
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $61.01 / $61.01 / $61.01	Professional		$61.01	$61.01	$61.01
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $21.50 / $21.50 / $25.98	Professional		$21.50	$21.50	$25.98
United Facility/Professional Professional Modifier Low / Median / High Price $15.64 / $16.18 / $35.60	Professional		$15.64	$16.18	$35.60