Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.14 / $42.12 / $226.52	Professional		$28.14	$42.12	$226.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.29 / $5.86 / $129.83	Facility		$5.29	$5.86	$129.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.80 / $62.00 / $85.56	Professional		$55.80	$62.00	$85.56
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $106.95 / $106.95 / $106.95	Facility		$106.95	$106.95	$106.95
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $42.43 / $48.00 / $85.97	Professional		$42.43	$48.00	$85.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.26 / $46.80 / $67.45	Facility		$45.26	$46.80	$67.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.78 / $46.80 / $92.25	Professional		$39.78	$46.80	$92.25
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $61.00 / $61.00 / $73.20	Professional		$61.00	$61.00	$73.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $53.68 / $62.62 / $120.77	Professional		$53.68	$62.62	$120.77
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $110.33 / $380.20 / $380.20	Facility		$110.33	$380.20	$380.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $25.16 / $51.73 / $90.34	Facility		$25.16	$51.73	$90.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $39.78 / $46.80 / $56.16	Professional		$39.78	$46.80	$56.16
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $148.18 / $148.18 / $148.18	Professional		$148.18	$148.18	$148.18
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $60.87 / $60.87 / $61.00	Professional		$60.87	$60.87	$61.00
United Facility/Professional Professional Modifier Low / Median / High Price $36.02 / $40.31 / $87.92	Professional		$36.02	$40.31	$87.92