Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $230.07 / $328.18 / $2,167.12	Professional		$230.07	$328.18	$2,167.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.63 / $41.70 / $1,281.59	Facility		$37.63	$41.70	$1,281.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $417.01 / $479.33 / $751.10	Professional		$417.01	$479.33	$751.10
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $889.24 / $889.24 / $889.24	Facility		$889.24	$889.24	$889.24
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $405.94 / $596.69	Professional		$100.00	$405.94	$596.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $461.38 / $461.38 / $596.69	Facility		$461.38	$461.38	$596.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $392.17 / $392.17 / $1,088.44	Professional		$392.17	$392.17	$1,088.44
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $537.58 / $537.58 / $645.10	Professional		$537.58	$537.58	$645.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $450.66 / $525.77 / $901.32	Professional		$450.66	$525.77	$901.32
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,089.09 / $3,528.39 / $3,567.73	Facility		$1,089.09	$3,528.39	$3,567.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $205.62 / $468.40 / $751.10	Facility		$205.62	$468.40	$751.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $205.62 / $392.17 / $461.38	Professional		$205.62	$392.17	$461.38
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,417.68 / $1,417.68 / $1,417.68	Professional		$1,417.68	$1,417.68	$1,417.68
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $537.58 / $537.58 / $600.88	Professional		$537.58	$537.58	$600.88
United Facility/Professional Professional Modifier Low / Median / High Price $249.85 / $318.51 / $642.02	Professional		$249.85	$318.51	$642.02