Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $191.72 / $273.48 / $1,805.96	Professional		$191.72	$273.48	$1,805.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.36 / $34.75 / $1,068.02	Facility		$31.36	$34.75	$1,068.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $347.50 / $399.42 / $625.92	Professional		$347.50	$399.42	$625.92
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $741.03 / $741.03 / $741.03	Facility		$741.03	$741.03	$741.03
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $338.29 / $497.24	Professional		$100.00	$338.29	$497.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $353.90 / $353.90 / $497.24	Facility		$353.90	$353.90	$497.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $300.82 / $300.82 / $907.03	Professional		$300.82	$300.82	$907.03
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $447.98 / $447.98 / $537.58	Professional		$447.98	$447.98	$537.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $375.56 / $438.15 / $801.00	Professional		$375.56	$438.15	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $907.60 / $2,940.40 / $2,973.17	Facility		$907.60	$2,940.40	$2,973.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $171.35 / $387.25 / $625.92	Facility		$171.35	$387.25	$625.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $300.82 / $300.82 / $353.90	Professional		$300.82	$300.82	$353.90
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,181.42 / $1,181.42 / $1,181.42	Professional		$1,181.42	$1,181.42	$1,181.42
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $447.98 / $447.98 / $500.74	Professional		$447.98	$447.98	$500.74
United Facility/Professional Professional Modifier Low / Median / High Price $208.21 / $265.43 / $625.92	Professional		$208.21	$265.43	$625.92