Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.14 / $15.90 / $28.63	Professional		$11.14	$15.90	$28.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.10 / $2.33 / $53.97	Facility		$2.10	$2.33	$53.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.92 / $25.83 / $37.38	Professional		$19.92	$25.83	$37.38
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $43.07 / $43.07 / $43.07	Facility		$43.07	$43.07	$43.07
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $17.48 / $21.69 / $35.07	Professional		$17.48	$21.69	$35.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.28 / $22.28 / $29.25	Facility		$22.28	$22.28	$29.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.94 / $22.28 / $39.75	Professional		$18.94	$22.28	$39.75
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $28.90 / $28.90 / $34.68	Professional		$28.90	$28.90	$34.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $21.83 / $25.47 / $49.11	Professional		$21.83	$25.47	$49.11
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $76.00 / $159.78 / $159.78	Facility		$76.00	$159.78	$159.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.56 / $22.28 / $36.36	Facility		$11.56	$22.28	$36.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.94 / $22.28 / $25.92	Professional		$18.94	$22.28	$25.92
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $61.04 / $61.04 / $61.04	Professional		$61.04	$61.04	$61.04
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $25.30 / $25.30 / $28.90	Professional		$25.30	$25.30	$28.90
United Facility/Professional Professional Modifier Low / Median / High Price $13.87 / $16.55 / $28.68	Professional		$13.87	$16.55	$28.68