Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $168.01 / $203.81 / $266.76	Professional		$168.01	$203.81	$266.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $201.38 / $201.38 / $201.38	Facility		$201.38	$201.38	$201.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.49 / $225.37 / $326.07	Professional		$165.49	$225.37	$326.07
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $154.53 / $220.53 / $255.42	Professional		$154.53	$220.53	$255.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.10 / $214.43 / $332.48	Professional		$173.10	$214.43	$332.48
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $94.30 / $117.12 / $225.52	Professional		$94.30	$117.12	$225.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $160.18 / $208.19 / $440.51	Professional		$160.18	$208.19	$440.51
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $906.80 / $988.90 / $988.90	Facility		$906.80	$988.90	$988.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $140.80 / $218.60 / $270.86	Facility		$140.80	$218.60	$270.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $187.42 / $212.54 / $285.39	Professional		$187.42	$212.54	$285.39
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $578.32 / $578.32 / $578.32	Professional		$578.32	$578.32	$578.32
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $94.30 / $117.12 / $250.57	Professional		$94.30	$117.12	$250.57
United Facility/Professional Professional Modifier Low / Median / High Price $170.13 / $206.91 / $453.26	Professional		$170.13	$206.91	$453.26