Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.86 / $169.37 / $219.97	Professional		$127.86	$169.37	$219.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $167.72 / $167.72 / $167.72	Facility		$167.72	$167.72	$167.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.08 / $187.69 / $265.01	Professional		$134.08	$187.69	$265.01
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $124.91 / $178.25 / $206.45	Professional		$124.91	$178.25	$206.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $133.55 / $176.80 / $249.74	Professional		$133.55	$176.80	$249.74
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $77.00 / $95.63 / $158.38	Professional		$77.00	$95.63	$158.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $112.94 / $146.65 / $310.60	Professional		$112.94	$146.65	$310.60
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $685.02 / $696.59 / $696.59	Facility		$685.02	$696.59	$696.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $117.07 / $167.35 / $215.48	Facility		$117.07	$167.35	$215.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $151.21 / $176.80 / $235.56	Professional		$151.21	$176.80	$235.56
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $475.37 / $475.37 / $475.37	Professional		$475.37	$475.37	$475.37
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $77.00 / $95.63 / $175.99	Professional		$77.00	$95.63	$175.99
United Facility/Professional Facility Modifier Low / Median / High Price $105.79 / $105.79 / $185.24	Facility		$105.79	$105.79	$185.24
United Facility/Professional Professional Modifier Low / Median / High Price $139.05 / $169.95 / $372.52	Professional		$139.05	$169.95	$372.52