Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $110.85 / $132.00 / $156.06	Facility		$110.85	$132.00	$156.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.07 / $125.62 / $209.08	Professional		$108.07	$125.62	$209.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $128.55 / $155.41 / $409.33	Facility		$128.55	$155.41	$409.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.59 / $143.13 / $281.72	Professional		$102.59	$143.13	$281.72
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $87.01 / $111.18 / $275.04	Professional		$87.01	$111.18	$275.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $119.27 / $154.52 / $248.48	Professional		$119.27	$154.52	$248.48
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $52.00 / $174.40 / $191.84	Professional		$52.00	$174.40	$191.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $141.06 / $181.51 / $360.48	Professional		$141.06	$181.51	$360.48
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $330.02 / $694.84 / $761.19	Facility		$330.02	$694.84	$761.19
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $878.76 / $878.76 / $902.70	Professional		$878.76	$878.76	$902.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $140.00 / $201.67 / $254.42	Facility		$140.00	$201.67	$254.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $115.23 / $165.66 / $247.93	Professional		$115.23	$165.66	$247.93
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $351.82 / $351.82 / $351.82	Professional		$351.82	$351.82	$351.82
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $67.59 / $88.40 / $158.54	Professional		$67.59	$88.40	$158.54
United Facility/Professional Professional Modifier Low / Median / High Price $100.06 / $148.56 / $361.15	Professional		$100.06	$148.56	$361.15