Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $210.42 / $300.14 / $1,864.19	Professional		$210.42	$300.14	$1,864.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.42 / $38.14 / $1,102.44	Facility		$34.42	$38.14	$1,102.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $250.75 / $372.93 / $806.72	Professional		$250.75	$372.93	$806.72
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $764.93 / $764.93 / $764.93	Facility		$764.93	$764.93	$764.93
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $349.20 / $513.28	Professional		$100.00	$349.20	$513.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $234.00 / $234.00 / $554.33	Facility		$234.00	$234.00	$554.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $198.90 / $198.90 / $966.09	Professional		$198.90	$198.90	$966.09
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $374.93 / $374.93 / $449.92	Professional		$374.93	$374.93	$449.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $387.66 / $452.27 / $801.00	Professional		$387.66	$452.27	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $936.85 / $3,019.16 / $3,068.98	Facility		$936.85	$3,019.16	$3,068.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $188.06 / $383.46 / $646.10	Facility		$188.06	$383.46	$646.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $198.90 / $198.90 / $234.00	Professional		$198.90	$198.90	$234.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,219.51 / $1,219.51 / $1,219.51	Professional		$1,219.51	$1,219.51	$1,219.51
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $374.93 / $374.93 / $516.88	Professional		$374.93	$374.93	$516.88
United Facility/Professional Professional Modifier Low / Median / High Price $228.50 / $291.29 / $468.64	Professional		$228.50	$291.29	$468.64