Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.76 / $25.34 / $45.78	Professional		$17.76	$25.34	$45.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.34 / $3.70 / $92.23	Facility		$3.34	$3.70	$92.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.79 / $42.69 / $72.41	Professional		$34.79	$42.69	$72.41
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $68.65 / $68.65 / $68.65	Facility		$68.65	$68.65	$68.65
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $29.30 / $34.57 / $56.51	Professional		$29.30	$34.57	$56.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.20 / $25.20 / $116.32	Facility		$25.20	$25.20	$116.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.42 / $25.20 / $62.63	Professional		$21.42	$25.20	$62.63
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $42.12 / $42.12 / $50.54	Professional		$42.12	$42.12	$50.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $33.61 / $39.21 / $75.63	Professional		$33.61	$39.21	$75.63
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $153.38 / $258.33 / $258.33	Facility		$153.38	$258.33	$258.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.42 / $33.81 / $58.00	Facility		$18.42	$33.81	$58.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.42 / $25.20 / $36.32	Professional		$21.42	$25.20	$36.32
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $102.33 / $102.33	Professional		$102.33	$102.33	$102.33
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $42.12 / $42.12 / $43.24	Professional		$42.12	$42.12	$43.24
United Facility/Professional Professional Modifier Low / Median / High Price $22.00 / $25.89 / $62.74	Professional		$22.00	$25.89	$62.74