Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $47.86 / $309.03	Professional		$33.88	$47.86	$309.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.75 / $5.75 / $5.75	Facility		$5.75	$5.75	$5.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $67.61 / $186.21	Professional		$40.74	$67.61	$186.21
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $128.82 / $151.36	Facility		$128.82	$128.82	$151.36
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $79.43 / $302.00	Professional		$46.77	$79.43	$302.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $56.23 / $74.13	Facility		$56.23	$56.23	$74.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $56.23 / $102.33	Professional		$47.86	$56.23	$102.33
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $66.07 / $77.62	Professional		$66.07	$66.07	$77.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $72.44 / $123.03	Professional		$61.66	$72.44	$123.03
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $398.11 / $398.11	Facility		$134.90	$398.11	$398.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $63.10 / $112.20	Facility		$35.48	$63.10	$112.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $56.23 / $67.61	Professional		$47.86	$56.23	$67.61
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $165.96 / $165.96	Professional		$165.96	$165.96	$165.96
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $66.07 / $67.61	Professional		$66.07	$66.07	$67.61
United Facility/Professional Facility Modifier Low / Median / High Price $3.55 / $28.84 / $51.29	Facility		$3.55	$28.84	$51.29
United Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $46.77 / $87.10	Professional		$38.02	$46.77	$87.10