Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $153.37 / $218.77 / $1,444.63	Professional		$153.37	$218.77	$1,444.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.09 / $27.80 / $854.31	Facility		$25.09	$27.80	$854.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $277.98 / $319.52 / $500.68	Professional		$277.98	$319.52	$500.68
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $592.78 / $592.78 / $592.78	Facility		$592.78	$592.78	$592.78
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $270.61 / $397.76	Professional		$100.00	$270.61	$397.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $307.55 / $307.55 / $397.76	Facility		$307.55	$307.55	$397.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $261.42 / $261.42 / $725.63	Professional		$261.42	$261.42	$725.63
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $358.36 / $358.36 / $430.03	Professional		$358.36	$358.36	$430.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $300.41 / $350.48 / $675.92	Professional		$300.41	$350.48	$675.92
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $725.99 / $2,352.03 / $2,378.23	Facility		$725.99	$2,352.03	$2,378.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $137.07 / $312.24 / $500.68	Facility		$137.07	$312.24	$500.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $137.07 / $261.42 / $307.55	Professional		$137.07	$261.42	$307.55
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $945.04 / $945.04 / $945.04	Professional		$945.04	$945.04	$945.04
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $358.36 / $358.36 / $400.54	Professional		$358.36	$358.36	$400.54
United Facility/Professional Professional Modifier Low / Median / High Price $167.54 / $212.32 / $550.75	Professional		$167.54	$212.32	$550.75