Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.77 / $62.79 / $327.78	Professional		$42.77	$62.79	$327.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.21 / $7.99 / $184.09	Facility		$7.21	$7.99	$184.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $78.68 / $90.95 / $171.33	Professional		$78.68	$90.95	$171.33
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $162.49 / $162.49 / $162.49	Facility		$162.49	$162.49	$162.49
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $61.40 / $72.91 / $109.02	Professional		$61.40	$72.91	$109.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $68.76 / $74.67 / $109.02	Facility		$68.76	$74.67	$109.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.47 / $74.67 / $128.25	Professional		$63.47	$74.67	$128.25
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $98.23 / $98.23 / $117.88	Professional		$98.23	$98.23	$117.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $78.26 / $91.30 / $176.08	Professional		$78.26	$91.30	$176.08
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $156.44 / $535.95 / $535.95	Facility		$156.44	$535.95	$535.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $38.22 / $76.48 / $137.22	Facility		$38.22	$76.48	$137.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $63.47 / $74.67 / $95.04	Professional		$63.47	$74.67	$95.04
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $214.42 / $214.42 / $214.42	Professional		$214.42	$214.42	$214.42
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $86.31 / $86.31 / $98.23	Professional		$86.31	$86.31	$98.23
United Facility/Professional Professional Modifier Low / Median / High Price $46.71 / $57.97 / $100.75	Professional		$46.71	$57.97	$100.75