Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.29 / $141.63 / $286.11	Professional		$99.29	$141.63	$286.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.97 / $17.69 / $416.15	Facility		$15.97	$17.69	$416.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $174.39 / $228.79 / $320.91	Professional		$174.39	$228.79	$320.91
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $383.77 / $383.77 / $383.77	Facility		$383.77	$383.77	$383.77
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $257.51	Professional		$100.00	$100.00	$257.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $166.31 / $166.31 / $257.51	Facility		$166.31	$166.31	$257.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.36 / $166.31 / $295.13	Professional		$141.36	$166.31	$295.13
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $243.36 / $243.36 / $292.02	Professional		$243.36	$243.36	$292.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $179.39 / $209.29 / $403.62	Professional		$179.39	$209.29	$403.62
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $318.18 / $1,193.68 / $1,193.68	Facility		$318.18	$1,193.68	$1,193.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $102.96 / $174.76 / $324.14	Facility		$102.96	$174.76	$324.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $141.36 / $166.31 / $196.56	Professional		$141.36	$166.31	$196.56
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $491.29 / $491.29 / $491.29	Professional		$491.29	$491.29	$491.29
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $195.11 / $195.11 / $243.36	Professional		$195.11	$195.11	$243.36
United Facility/Professional Professional Modifier Low / Median / High Price $125.83 / $138.30 / $229.09	Professional		$125.83	$138.30	$229.09