Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.76 / $69.98 / $368.06	Professional		$46.76	$69.98	$368.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.78 / $9.74 / $209.06	Facility		$8.78	$9.74	$209.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.30 / $104.63 / $187.36	Professional		$80.30	$104.63	$187.36
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $177.67 / $177.67 / $177.67	Facility		$177.67	$177.67	$177.67
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $68.95 / $79.73 / $119.21	Professional		$68.95	$79.73	$119.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.00 / $45.00 / $119.21	Facility		$45.00	$45.00	$119.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.25 / $45.00 / $153.38	Professional		$38.25	$45.00	$153.38
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $98.30 / $98.30 / $117.96	Professional		$98.30	$98.30	$117.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $87.79 / $102.42 / $197.53	Professional		$87.79	$102.42	$197.53
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $165.26 / $615.09 / $615.09	Facility		$165.26	$615.09	$615.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $41.79 / $82.91 / $150.06	Facility		$41.79	$82.91	$150.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $38.25 / $45.00 / $85.70	Professional		$38.25	$45.00	$85.70
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $240.77 / $240.77 / $240.77	Professional		$240.77	$240.77	$240.77
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $98.02 / $98.02 / $98.30	Professional		$98.02	$98.02	$98.30
United Facility/Professional Professional Modifier Low / Median / High Price $50.78 / $63.64 / $113.13	Professional		$50.78	$63.64	$113.13