Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $143.04 / $227.77 / $380.56	Professional		$143.04	$227.77	$380.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.32 / $28.05 / $617.53	Facility		$25.32	$28.05	$617.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $280.54 / $317.10 / $437.64	Professional		$280.54	$317.10	$437.64
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $617.16 / $617.16 / $617.16	Facility		$617.16	$617.16	$617.16
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $214.19 / $414.13	Professional		$100.00	$214.19	$414.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $223.86 / $243.42 / $414.13	Facility		$223.86	$243.42	$414.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $206.91 / $243.42 / $431.25	Professional		$206.91	$243.42	$431.25
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $373.10 / $373.10 / $447.72	Professional		$373.10	$373.10	$447.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $276.75 / $322.88 / $622.69	Professional		$276.75	$322.88	$622.69
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $477.78 / $1,745.64 / $1,745.64	Facility		$477.78	$1,745.64	$1,745.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $142.71 / $271.61 / $521.30	Facility		$142.71	$271.61	$521.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $206.91 / $243.42 / $319.50	Professional		$206.91	$243.42	$319.50
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $748.03 / $748.03 / $748.03	Professional		$748.03	$748.03	$748.03
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $289.52 / $289.52 / $373.10	Professional		$289.52	$289.52	$373.10
United Facility/Professional Professional Modifier Low / Median / High Price $171.26 / $197.90 / $351.47	Professional		$171.26	$197.90	$351.47