Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.31 / $246.72 / $1,618.69	Professional		$181.31	$246.72	$1,618.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.66 / $32.86 / $957.27	Facility		$29.66	$32.86	$957.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $216.06 / $321.33 / $700.49	Professional		$216.06	$321.33	$700.49
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $664.19 / $664.19 / $664.19	Facility		$664.19	$664.19	$664.19
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $303.20 / $445.68	Professional		$100.00	$303.20	$445.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $281.06 / $292.50 / $481.33	Facility		$281.06	$292.50	$481.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $248.63 / $292.50 / $661.50	Professional		$248.63	$292.50	$661.50
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $325.52 / $325.52 / $390.64	Professional		$325.52	$325.52	$390.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $336.61 / $392.71 / $757.38	Professional		$336.61	$392.71	$757.38
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $813.48 / $2,606.76 / $2,664.85	Facility		$813.48	$2,606.76	$2,664.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $162.05 / $352.20 / $561.02	Facility		$162.05	$352.20	$561.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $248.63 / $292.50 / $351.00	Professional		$248.63	$292.50	$351.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,058.90 / $1,058.90 / $1,058.90	Professional		$1,058.90	$1,058.90	$1,058.90
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $325.52 / $325.52 / $448.82	Professional		$325.52	$325.52	$448.82
United Facility/Professional Professional Modifier Low / Median / High Price $196.90 / $251.02 / $497.54	Professional		$196.90	$251.02	$497.54