Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.41 / $29.05 / $174.23	Professional		$19.41	$29.05	$174.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.65 / $4.04 / $104.05	Facility		$3.65	$4.04	$104.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.43 / $46.64 / $77.73	Professional		$40.43	$46.64	$77.73
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $73.73 / $73.73 / $73.73	Facility		$73.73	$73.73	$73.73
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $32.64 / $38.39 / $62.13	Professional		$32.64	$38.39	$62.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.20 / $39.90 / $49.47	Facility		$36.20	$39.90	$49.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.92 / $39.90 / $70.88	Professional		$33.92	$39.90	$70.88
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $46.78 / $46.78 / $56.14	Professional		$46.78	$46.78	$56.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $36.97 / $43.14 / $83.20	Professional		$36.97	$43.14	$83.20
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $94.74 / $286.32 / $289.66	Facility		$94.74	$286.32	$289.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.12 / $39.90 / $62.26	Facility		$20.12	$39.90	$62.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $33.92 / $39.90 / $43.20	Professional		$33.92	$39.90	$43.20
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $113.97 / $113.97 / $113.97	Professional		$113.97	$113.97	$113.97
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $46.78 / $46.78 / $48.78	Professional		$46.78	$46.78	$48.78
United Facility/Professional Professional Modifier Low / Median / High Price $24.03 / $30.13 / $51.62	Professional		$24.03	$30.13	$51.62