Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.10 / $48.64 / $95.71	Professional		$34.10	$48.64	$95.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.14 / $5.70 / $139.15	Facility		$5.14	$5.70	$139.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.00 / $78.50 / $112.09	Professional		$57.00	$78.50	$112.09
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $129.59 / $129.59 / $129.59	Facility		$129.59	$129.59	$129.59
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $47.18 / $67.47 / $98.39	Professional		$47.18	$67.47	$98.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $55.97 / $55.97 / $86.96	Facility		$55.97	$55.97	$86.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.57 / $55.97 / $100.50	Professional		$47.57	$55.97	$100.50
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $65.40 / $65.40 / $78.48	Professional		$65.40	$65.40	$78.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $60.64 / $70.75 / $136.44	Professional		$60.64	$70.75	$136.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $118.25 / $401.40 / $401.40	Facility		$118.25	$401.40	$401.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $35.36 / $60.51 / $109.47	Facility		$35.36	$60.51	$109.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $47.57 / $55.97 / $68.04	Professional		$47.57	$55.97	$68.04
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $164.77 / $164.77 / $164.77	Professional		$164.77	$164.77	$164.77
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $65.23 / $65.23 / $65.40	Professional		$65.23	$65.23	$65.40
United Facility/Professional Professional Modifier Low / Median / High Price $37.97 / $45.37 / $77.42	Professional		$37.97	$45.37	$77.42