Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.87 / $29.75 / $176.76	Professional		$19.87	$29.75	$176.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.74 / $4.13 / $105.19	Facility		$3.74	$4.13	$105.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.42 / $47.77 / $79.67	Professional		$41.42	$47.77	$79.67
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $75.55 / $75.55 / $75.55	Facility		$75.55	$75.55	$75.55
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $39.33 / $63.26	Professional		$33.11	$39.33	$63.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.09 / $40.36 / $50.69	Facility		$37.09	$40.36	$50.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.31 / $40.36 / $71.63	Professional		$34.31	$40.36	$71.63
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $50.69 / $50.69 / $60.83	Professional		$50.69	$50.69	$60.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $37.64 / $43.91 / $84.69	Professional		$37.64	$43.91	$84.69
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $95.78 / $289.64 / $292.83	Facility		$95.78	$289.64	$292.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.61 / $40.36 / $63.81	Facility		$20.61	$40.36	$63.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $34.31 / $40.36 / $41.60	Professional		$34.31	$40.36	$41.60
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $115.63 / $115.63 / $115.63	Professional		$115.63	$115.63	$115.63
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $49.32 / $49.32 / $50.69	Professional		$49.32	$49.32	$50.69
United Facility/Professional Professional Modifier Low / Median / High Price $23.94 / $30.56 / $44.80	Professional		$23.94	$30.56	$44.80