Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $165.96 / $1,023.29	Professional		$93.33	$165.96	$1,023.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $251.19 / $630.96	Professional		$147.91	$251.19	$630.96
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $524.81 / $1,122.02	Professional		$398.11	$524.81	$1,122.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $147.91 / $147.91	Facility		$147.91	$147.91	$147.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $147.91 / $436.52	Professional		$75.86	$147.91	$436.52
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $177.83 / $239.88	Professional		$117.49	$177.83	$239.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $169.82 / $269.15	Professional		$141.25	$169.82	$269.15
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $933.25 / $933.25	Facility		$933.25	$933.25	$933.25
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,238.72 / $2,238.72	Professional		$2,238.72	$2,238.72	$2,238.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $213.80 / $446.68	Facility		$114.82	$213.80	$446.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $181.97 / $436.52	Professional		$75.86	$181.97	$436.52
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 $144.54 / $144.54 / $199.53	Professional		$144.54	$144.54	$199.53
United Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $138.04 / $407.38	Professional		$83.18	$138.04	$407.38