Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.31 / $111.49 / $350.88	Professional		$76.31	$111.49	$350.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.44 / $16.00 / $340.78	Facility		$14.44	$16.00	$340.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.22 / $159.02 / $248.01	Professional		$112.22	$159.02	$248.01
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $288.04 / $288.04 / $288.04	Facility		$288.04	$288.04	$288.04
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $112.21 / $193.29	Professional		$100.00	$112.21	$193.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $130.68 / $130.68 / $193.29	Facility		$130.68	$130.68	$193.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.08 / $130.68 / $241.50	Professional		$111.08	$130.68	$241.50
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $187.04 / $187.04 / $224.45	Professional		$187.04	$187.04	$224.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $138.28 / $161.33 / $311.13	Professional		$138.28	$161.33	$311.13
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $350.77 / $937.40 / $948.67	Facility		$350.77	$937.40	$948.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $130.68 / $151.41 / $243.31	Facility		$130.68	$151.41	$243.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $111.08 / $130.68 / $190.00	Professional		$111.08	$130.68	$190.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $391.87 / $391.87 / $391.87	Professional		$391.87	$391.87	$391.87
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $159.78 / $159.78 / $187.04	Professional		$159.78	$159.78	$187.04
United Facility/Professional Professional Modifier Low / Median / High Price $82.20 / $96.63 / $184.12	Professional		$82.20	$96.63	$184.12