Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $467.74 / $3,235.94	Professional		$257.04	$467.74	$3,235.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $46.77 / $46.77	Facility		$46.77	$46.77	$46.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $616.60 / $1,949.84	Professional		$316.23	$616.60	$1,949.84
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,621.81	Facility		$1,000.00	$1,000.00	$1,621.81
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $812.83 / $3,162.28	Professional		$457.09	$812.83	$3,162.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $512.86 / $575.44	Facility		$512.86	$512.86	$575.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $512.86 / $977.24	Professional		$436.52	$512.86	$977.24
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $691.83 / $831.76	Professional		$691.83	$691.83	$831.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $602.56 / $977.24	Professional		$512.86	$602.56	$977.24
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $3,981.07 / $3,981.07	Facility		$1,318.26	$3,981.07	$3,981.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $524.81 / $851.14	Facility		$269.15	$524.81	$851.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $436.52 / $524.81	Professional		$436.52	$436.52	$524.81
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,584.89 / $1,584.89	Professional		$1,584.89	$1,584.89	$1,584.89
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $691.83 / $691.83	Professional		$691.83	$691.83	$691.83
United Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $245.47 / $549.54	Facility		$26.92	$245.47	$549.54
United Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $416.87 / $851.14	Professional		$309.03	$416.87	$851.14