Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $209.20 / $283.14 / $446.29	Professional		$209.20	$283.14	$446.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.47 / $34.86 / $34.86	Facility		$31.47	$34.86	$34.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $278.27 / $359.76 / $633.09	Professional		$278.27	$359.76	$633.09
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $261.17 / $514.79	Professional		$100.00	$261.17	$514.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $310.87 / $310.87 / $820.24	Facility		$310.87	$310.87	$820.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $264.24 / $310.87 / $543.75	Professional		$264.24	$310.87	$543.75
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $376.02 / $376.02 / $451.22	Professional		$376.02	$376.02	$451.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $343.25 / $400.46 / $772.31	Professional		$343.25	$400.46	$772.31
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,002.80 / $2,228.01 / $2,228.01	Facility		$1,002.80	$2,228.01	$2,228.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $208.71 / $339.51 / $648.02	Facility		$208.71	$339.51	$648.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $264.24 / $310.87 / $410.23	Professional		$264.24	$310.87	$410.23
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $912.08 / $912.08 / $912.08	Professional		$912.08	$912.08	$912.08
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $349.64 / $349.64 / $376.02	Professional		$349.64	$349.64	$376.02
United Facility/Professional Professional Modifier Low / Median / High Price $230.56 / $249.10 / $428.55	Professional		$230.56	$249.10	$428.55