Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.89 / $22.29 / $116.77	Professional		$14.89	$22.29	$116.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.80 / $3.10 / $67.26	Facility		$2.80	$3.10	$67.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.45 / $33.96 / $53.65	Professional		$28.45	$33.96	$53.65
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $54.44 / $54.44 / $54.44	Facility		$54.44	$54.44	$54.44
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $21.87 / $24.42 / $44.12	Professional		$21.87	$24.42	$44.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.03 / $27.79 / $36.53	Facility		$23.03	$27.79	$36.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.62 / $27.79 / $49.50	Professional		$23.62	$27.79	$49.50
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $31.60 / $31.60 / $37.92	Professional		$31.60	$31.60	$37.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $27.59 / $32.19 / $62.07	Professional		$27.59	$32.19	$62.07
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $76.00 / $199.27 / $199.27	Facility		$76.00	$199.27	$199.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.31 / $27.79 / $45.97	Facility		$13.31	$27.79	$45.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $23.62 / $27.79 / $32.94	Professional		$23.62	$27.79	$32.94
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $76.38 / $76.38 / $76.38	Professional		$76.38	$76.38	$76.38
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $31.54 / $31.54 / $31.60	Professional		$31.54	$31.54	$31.60
United Facility/Professional Professional Modifier Low / Median / High Price $16.27 / $20.19 / $34.59	Professional		$16.27	$20.19	$34.59