Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.88 / $29.79 / $51.84	Professional		$20.88	$29.79	$51.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.93 / $4.36 / $114.07	Facility		$3.93	$4.36	$114.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.60 / $48.20 / $72.13	Professional		$43.60	$48.20	$72.13
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $80.73 / $80.73 / $80.73	Facility		$80.73	$80.73	$80.73
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $35.77 / $42.02 / $68.06	Professional		$35.77	$42.02	$68.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.63 / $44.42 / $116.32	Facility		$39.63	$44.42	$116.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.76 / $44.42 / $77.63	Professional		$37.76	$44.42	$77.63
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $51.28 / $51.28 / $61.54	Professional		$51.28	$51.28	$61.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $40.51 / $47.26 / $91.15	Professional		$40.51	$47.26	$91.15
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $103.86 / $317.39 / $317.54	Facility		$103.86	$317.39	$317.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $21.66 / $44.42 / $68.19	Facility		$21.66	$44.42	$68.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $37.76 / $44.42 / $45.75	Professional		$37.76	$44.42	$45.75
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $124.91 / $124.91 / $124.91	Professional		$124.91	$124.91	$124.91
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $51.28 / $51.28 / $53.48	Professional		$51.28	$51.28	$53.48
United Facility/Professional Professional Modifier Low / Median / High Price $25.85 / $30.90 / $56.57	Professional		$25.85	$30.90	$56.57