Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.17 / $58.44 / $81.42	Professional		$30.17	$58.44	$81.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $131.93 / $131.93 / $131.93	Facility		$131.93	$131.93	$131.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.30 / $60.36 / $97.43	Professional		$51.30	$60.36	$97.43
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $90.00 / $184.71 / $269.77	Professional		$90.00	$184.71	$269.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.07 / $35.07 / $35.07	Professional		$35.07	$35.07	$35.07
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $31.96 / $47.94 / $80.38	Professional		$31.96	$47.94	$80.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $65.76 / $65.76 / $91.34	Professional		$65.76	$65.76	$91.34
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $131.33 / $148.33 / $378.85	Facility		$131.33	$148.33	$378.85
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $482.28 / $482.28 / $548.03	Professional		$482.28	$482.28	$548.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $43.94 / $73.06 / $84.76	Facility		$43.94	$73.06	$84.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $35.07 / $35.07 / $98.10	Professional		$35.07	$35.07	$98.10
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $137.91 / $137.91 / $137.91	Professional		$137.91	$137.91	$137.91
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $31.96 / $31.96 / $58.46	Professional		$31.96	$31.96	$58.46
United Facility/Professional Professional Modifier Low / Median / High Price $33.70 / $36.46 / $84.46	Professional		$33.70	$36.46	$84.46