Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.24 / $252.82 / $1,462.60	Professional		$177.24	$252.82	$1,462.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.99 / $32.11 / $841.04	Facility		$28.99	$32.11	$841.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.13 / $369.25 / $529.54	Professional		$18.13	$369.25	$529.54
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $685.05 / $685.05 / $685.05	Facility		$685.05	$685.05	$685.05
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $273.98 / $468.26	Professional		$100.00	$273.98	$468.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $347.16 / $347.16 / $459.67	Facility		$347.16	$347.16	$459.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.08 / $347.16 / $641.25	Professional		$295.08	$347.16	$641.25
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $414.13 / $414.13 / $496.96	Professional		$414.13	$414.13	$496.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $347.17 / $405.03 / $781.14	Professional		$347.17	$405.03	$781.14
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $530.20 / $2,490.09 / $2,490.09	Facility		$530.20	$2,490.09	$2,490.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $166.32 / $347.16 / $578.62	Facility		$166.32	$347.16	$578.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $295.08 / $347.16 / $404.56	Professional		$295.08	$347.16	$404.56
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $956.80 / $956.80 / $956.80	Professional		$956.80	$956.80	$956.80
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $394.32 / $394.32 / $414.13	Professional		$394.32	$394.32	$414.13
United Facility/Professional Professional Modifier Low / Median / High Price $192.48 / $252.90 / $636.48	Professional		$192.48	$252.90	$636.48