Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $120.23 / $741.31	Professional		$97.72	$120.23	$741.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $14.45 / $14.45	Facility		$14.45	$14.45	$14.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $147.91 / $537.03	Professional		$120.23	$147.91	$537.03
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $363.08 / $380.19	Facility		$363.08	$363.08	$380.19
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $190.55 / $724.44	Professional		$120.23	$190.55	$724.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $123.03 / $158.49	Facility		$123.03	$123.03	$158.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $123.03 / $218.78	Professional		$104.71	$123.03	$218.78
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $213.80 / $257.04	Professional		$213.80	$213.80	$257.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $186.21 / $323.59	Professional		$158.49	$186.21	$323.59
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $912.01 / $912.01	Facility		$309.03	$912.01	$912.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $147.91 / $323.59	Facility		$100.00	$147.91	$323.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $123.03 / $151.36	Professional		$104.71	$123.03	$151.36
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $416.87 / $416.87	Professional		$416.87	$416.87	$416.87
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $158.49 / $213.80	Professional		$158.49	$158.49	$213.80
United Facility/Professional Facility Modifier Low / Median / High Price $8.13 / $75.86 / $128.82	Facility		$8.13	$75.86	$128.82
United Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $123.03 / $223.87	Professional		$95.50	$123.03	$223.87