Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.92 / $152.51 / $765.62	Professional		$106.92	$152.51	$765.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.88 / $18.70 / $413.45	Facility		$16.88	$18.70	$413.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $187.00 / $246.37 / $291.72	Professional		$187.00	$246.37	$291.72
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $413.24 / $413.24 / $413.24	Facility		$413.24	$413.24	$413.24
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $143.41 / $277.29	Professional		$100.00	$143.41	$277.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $160.96 / $160.96 / $277.29	Facility		$160.96	$160.96	$277.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $136.82 / $160.96 / $274.13	Professional		$136.82	$160.96	$274.13
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $250.12 / $250.12 / $300.14	Professional		$250.12	$250.12	$300.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $184.24 / $214.95 / $414.54	Professional		$184.24	$214.95	$414.54
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $319.93 / $1,154.28 / $1,154.28	Facility		$319.93	$1,154.28	$1,154.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $110.87 / $182.25 / $349.05	Facility		$110.87	$182.25	$349.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $136.82 / $160.96 / $210.60	Professional		$136.82	$160.96	$210.60
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $500.85 / $500.85 / $500.85	Professional		$500.85	$500.85	$500.85
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $193.85 / $193.85 / $250.12	Professional		$193.85	$193.85	$250.12
United Facility/Professional Professional Modifier Low / Median / High Price $125.95 / $135.84 / $226.82	Professional		$125.95	$135.84	$226.82