Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.21 / $42.23 / $241.48	Professional		$28.21	$42.23	$241.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.31 / $5.88 / $141.78	Facility		$5.31	$5.88	$141.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.16 / $66.79 / $113.02	Professional		$58.16	$66.79	$113.02
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $107.18 / $107.18 / $107.18	Facility		$107.18	$107.18	$107.18
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $45.23 / $55.81 / $87.57	Professional		$45.23	$55.81	$87.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.63 / $54.52 / $71.92	Facility		$52.63	$54.52	$71.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.34 / $54.52 / $96.38	Professional		$46.34	$54.52	$96.38
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $63.74 / $63.74 / $76.48	Professional		$63.74	$63.74	$76.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $52.09 / $60.77 / $117.19	Professional		$52.09	$60.77	$117.19
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $125.40 / $391.25 / $394.68	Facility		$125.40	$391.25	$394.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $29.25 / $55.26 / $90.53	Facility		$29.25	$55.26	$90.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $45.05 / $54.52 / $56.16	Professional		$45.05	$54.52	$56.16
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $157.96 / $157.96 / $157.96	Professional		$157.96	$157.96	$157.96
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $63.74 / $63.74 / $66.47	Professional		$63.74	$63.74	$66.47
United Facility/Professional Professional Modifier Low / Median / High Price $34.92 / $41.75 / $71.54	Professional		$34.92	$41.75	$71.54