Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.63 / $53.67 / $93.64	Professional		$37.63	$53.67	$93.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.15 / $6.81 / $163.44	Facility		$6.15	$6.81	$163.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.09 / $86.60 / $123.52	Professional		$68.09	$86.60	$123.52
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $143.02 / $143.02 / $143.02	Facility		$143.02	$143.02	$143.02
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $54.37 / $61.87 / $100.00	Professional		$54.37	$61.87	$100.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.38 / $66.38 / $95.97	Facility		$66.38	$66.38	$95.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.42 / $66.38 / $114.38	Professional		$56.42	$66.38	$114.38
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $94.02 / $94.02 / $112.82	Professional		$94.02	$94.02	$112.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $69.34 / $80.90 / $156.02	Professional		$69.34	$80.90	$156.02
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $138.90 / $476.10 / $476.10	Facility		$138.90	$476.10	$476.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $39.02 / $69.14 / $120.81	Facility		$39.02	$69.14	$120.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $56.42 / $66.38 / $84.24	Professional		$56.42	$66.38	$84.24
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $189.88 / $189.88 / $189.88	Professional		$189.88	$189.88	$189.88
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $76.63 / $76.63 / $94.02	Professional		$76.63	$76.63	$94.02
United Facility/Professional Professional Modifier Low / Median / High Price $46.59 / $54.37 / $101.50	Professional		$46.59	$54.37	$101.50