Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $281.84 / $478.63	Professional		$208.93	$281.84	$478.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $34.67 / $34.67	Facility		$34.67	$34.67	$34.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $363.08 / $954.99	Professional		$245.47	$363.08	$954.99
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $309.03 / $1,621.81	Professional		$229.09	$309.03	$1,621.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $309.03 / $524.81	Facility		$309.03	$309.03	$524.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $309.03 / $549.54	Professional		$263.03	$309.03	$549.54
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $380.19 / $446.68	Professional		$380.19	$380.19	$446.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $407.38 / $707.95	Professional		$354.81	$407.38	$707.95
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $2,238.72 / $2,238.72	Facility		$2,238.72	$2,238.72	$2,238.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $338.84 / $660.69	Facility		$208.93	$338.84	$660.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $309.03 / $407.38	Professional		$263.03	$309.03	$407.38
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $912.01 / $912.01	Professional		$912.01	$912.01	$912.01
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $363.08 / $380.19	Professional		$363.08	$363.08	$380.19
United Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $169.82 / $295.12	Facility		$19.50	$169.82	$295.12
United Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $269.15 / $549.54	Professional		$223.87	$269.15	$549.54