Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $320.45 / $496.56 / $829.66	Professional		$320.45	$496.56	$829.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $56.95 / $63.10 / $1,438.85	Facility		$56.95	$63.10	$1,438.85
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $691.50 / $984.30	Professional		$630.96	$691.50	$984.30
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $1,345.50 / $1,345.50 / $1,345.50	Facility		$1,345.50	$1,345.50	$1,345.50
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $488.52 / $902.84	Professional		$100.00	$488.52	$902.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $581.42 / $581.42 / $902.84	Facility		$581.42	$581.42	$902.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $494.22 / $581.42 / $1,038.38	Professional		$494.22	$581.42	$1,038.38
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $813.40 / $813.40 / $976.08	Professional		$813.40	$813.40	$976.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $628.00 / $732.67 / $1,256.00	Professional		$628.00	$732.67	$1,256.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,119.41 / $4,173.16 / $4,173.16	Facility		$1,119.41	$4,173.16	$4,173.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $311.13 / $599.33 / $1,136.49	Facility		$311.13	$599.33	$1,136.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $494.22 / $581.42 / $708.50	Professional		$494.22	$581.42	$708.50
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,706.06 / $1,706.06 / $1,706.06	Professional		$1,706.06	$1,706.06	$1,706.06
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $674.61 / $674.61 / $813.40	Professional		$674.61	$674.61	$813.40
United Facility/Professional Professional Modifier Low / Median / High Price $373.35 / $445.59 / $772.61	Professional		$373.35	$445.59	$772.61