Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.90 / $227.24 / $1,166.60	Professional		$154.90	$227.24	$1,166.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.56 / $27.21 / $645.19	Facility		$24.56	$27.21	$645.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $272.14 / $356.90 / $478.85	Professional		$272.14	$356.90	$478.85
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $598.71 / $598.71 / $598.71	Facility		$598.71	$598.71	$598.71
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $218.53 / $401.74	Professional		$100.00	$218.53	$401.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $265.97 / $265.97 / $401.74	Facility		$265.97	$265.97	$401.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $226.07 / $226.07 / $565.78	Professional		$226.07	$226.07	$565.78
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $384.42 / $384.42 / $461.30	Professional		$384.42	$384.42	$461.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $283.42 / $330.66 / $637.70	Professional		$283.42	$330.66	$637.70
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $488.10 / $1,908.97 / $1,908.97	Facility		$488.10	$1,908.97	$1,908.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $160.62 / $276.80 / $505.69	Facility		$160.62	$276.80	$505.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $226.07 / $226.07 / $265.97	Professional		$226.07	$226.07	$265.97
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $763.17 / $763.17 / $763.17	Professional		$763.17	$763.17	$763.17
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $302.50 / $302.50 / $384.42	Professional		$302.50	$302.50	$384.42
United Facility/Professional Professional Modifier Low / Median / High Price $191.70 / $212.28 / $346.66	Professional		$191.70	$212.28	$346.66