Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.40 / $183.15 / $364.13	Professional		$128.40	$183.15	$364.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.36 / $22.56 / $530.61	Facility		$20.36	$22.56	$530.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $225.58 / $295.80 / $367.40	Professional		$225.58	$295.80	$367.40
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $496.27 / $496.27 / $496.27	Facility		$496.27	$496.27	$496.27
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $242.95 / $333.00	Professional		$100.00	$242.95	$333.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $204.05 / $204.05 / $333.00	Facility		$204.05	$204.05	$333.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.44 / $173.44 / $437.34	Professional		$173.44	$173.44	$437.34
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $306.64 / $306.64 / $367.97	Professional		$306.64	$306.64	$367.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $225.95 / $263.61 / $508.38	Professional		$225.95	$263.61	$508.38
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $450.91 / $1,464.56 / $1,477.11	Facility		$450.91	$1,464.56	$1,477.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $133.15 / $220.22 / $419.17	Facility		$133.15	$220.22	$419.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $173.44 / $173.44 / $204.05	Professional		$173.44	$173.44	$204.05
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $629.16 / $629.16 / $629.16	Professional		$629.16	$629.16	$629.16
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $248.78 / $248.78 / $306.64	Professional		$248.78	$248.78	$306.64
United Facility/Professional Facility Modifier Low / Median / High Price $13.83 / $130.26 / $192.32	Facility		$13.83	$130.26	$192.32
United Facility/Professional Professional Modifier Low / Median / High Price $158.15 / $170.33 / $295.62	Professional		$158.15	$170.33	$295.62