Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $151.36 / $977.24	Professional		$112.20	$151.36	$977.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $169.82 / $234.42	Facility		$144.54	$169.82	$234.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $234.42 / $478.63	Professional		$123.03	$234.42	$478.63
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $144.54 / $407.38	Professional		$117.49	$144.54	$407.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $363.08 / $363.08	Facility		$363.08	$363.08	$363.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $158.49 / $512.86	Professional		$95.50	$158.49	$512.86
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $147.91 / $199.53	Professional		$131.83	$147.91	$199.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $162.18 / $257.04	Professional		$131.83	$162.18	$257.04
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,047.13	Facility		$1,047.13	$1,047.13	$1,047.13
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,202.26	Professional		$1,096.48	$1,096.48	$1,202.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $177.83 / $380.19	Facility		$83.18	$177.83	$380.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $190.55 / $512.86	Professional		$95.50	$190.55	$512.86
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $512.86 / $512.86	Professional		$512.86	$512.86	$512.86
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $117.49 / $1,949.84	Professional		$117.49	$117.49	$1,949.84
United Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $125.89 / $363.08	Professional		$89.13	$125.89	$363.08