Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.56 / $67.00 / $101.43	Professional		$42.56	$67.00	$101.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.01 / $8.86 / $191.07	Facility		$8.01	$8.86	$191.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.60 / $91.25 / $132.31	Professional		$59.60	$91.25	$132.31
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $161.72 / $161.72 / $161.72	Facility		$161.72	$161.72	$161.72
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $62.94 / $72.56 / $108.51	Professional		$62.94	$72.56	$108.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $78.15 / $78.15 / $108.51	Facility		$78.15	$78.15	$108.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.43 / $78.15 / $138.00	Professional		$66.43	$78.15	$138.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $97.76 / $97.76 / $117.31	Professional		$97.76	$97.76	$117.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $79.98 / $93.32 / $179.98	Professional		$79.98	$93.32	$179.98
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $162.37 / $560.90 / $560.90	Facility		$162.37	$560.90	$560.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $38.03 / $78.23 / $136.60	Facility		$38.03	$78.23	$136.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $66.43 / $78.15 / $102.57	Professional		$66.43	$78.15	$102.57
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $219.80 / $219.80 / $219.80	Professional		$219.80	$219.80	$219.80
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $89.58 / $89.58 / $97.76	Professional		$89.58	$89.58	$97.76
United Facility/Professional Professional Modifier Low / Median / High Price $46.49 / $58.10 / $99.54	Professional		$46.49	$58.10	$99.54