Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.46 / $111.40 / $198.90	Professional		$87.46	$111.40	$198.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $92.63 / $92.63 / $92.63	Facility		$92.63	$92.63	$92.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.15 / $114.65 / $268.72	Professional		$82.15	$114.65	$268.72
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $95.10 / $111.97 / $304.58	Facility		$95.10	$111.97	$304.58
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $86.31 / $113.03 / $196.46	Professional		$86.31	$113.03	$196.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.56 / $141.32 / $290.36	Professional		$97.56	$141.32	$290.36
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $101.93 / $129.28 / $177.73	Professional		$101.93	$129.28	$177.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $82.58 / $128.44 / $244.32	Professional		$82.58	$128.44	$244.32
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $414.79 / $455.10 / $455.10	Facility		$414.79	$455.10	$455.10
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $595.01 / $729.15 / $1,000.73	Professional		$595.01	$729.15	$1,000.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $95.69 / $131.75 / $194.66	Facility		$95.69	$131.75	$194.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $100.41 / $148.75 / $292.67	Professional		$100.41	$148.75	$292.67
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $320.24 / $320.24 / $423.62	Professional		$320.24	$320.24	$423.62
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $94.66 / $115.70 / $164.71	Professional		$94.66	$115.70	$164.71
United Facility/Professional Professional Modifier Low / Median / High Price $93.18 / $119.46 / $238.06	Professional		$93.18	$119.46	$238.06