Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.59 / $220.50 / $1,401.22	Professional		$154.59	$220.50	$1,401.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.29 / $28.02 / $834.59	Facility		$25.29	$28.02	$834.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $280.66 / $356.20 / $534.27	Professional		$280.66	$356.20	$534.27
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $597.49 / $597.49 / $597.49	Facility		$597.49	$597.49	$597.49
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $262.48 / $400.91	Professional		$100.00	$262.48	$400.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $229.50 / $229.50 / $400.91	Facility		$229.50	$229.50	$400.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $195.08 / $229.50 / $562.50	Professional		$195.08	$229.50	$562.50
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $263.62 / $263.62 / $316.33	Professional		$263.62	$263.62	$316.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $298.64 / $348.41 / $671.94	Professional		$298.64	$348.41	$671.94
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $688.92 / $2,149.42 / $2,323.32	Facility		$688.92	$2,149.42	$2,323.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $160.30 / $293.36 / $504.67	Facility		$160.30	$293.36	$504.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $195.08 / $229.50 / $299.45	Professional		$195.08	$229.50	$299.45
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $916.64 / $916.64 / $916.64	Professional		$916.64	$916.64	$916.64
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $263.62 / $263.62 / $391.30	Professional		$263.62	$263.62	$391.30
United Facility/Professional Professional Modifier Low / Median / High Price $191.31 / $223.10 / $415.12	Professional		$191.31	$223.10	$415.12