Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $200.64 / $300.31 / $1,561.60	Professional		$200.64	$300.31	$1,561.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.68 / $35.10 / $876.34	Facility		$31.68	$35.10	$876.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $350.99 / $462.34 / $606.79	Professional		$350.99	$462.34	$606.79
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $775.50 / $775.50 / $775.50	Facility		$775.50	$775.50	$775.50
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $292.52 / $520.37	Professional		$100.00	$292.52	$520.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $358.71 / $358.71 / $520.37	Facility		$358.71	$358.71	$520.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $304.89 / $358.71 / $612.38	Professional		$304.89	$358.71	$612.38
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $508.32 / $508.32 / $609.98	Professional		$508.32	$508.32	$609.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $374.88 / $437.36 / $801.00	Professional		$374.88	$437.36	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $690.59 / $2,574.69 / $2,574.69	Facility		$690.59	$2,574.69	$2,574.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $208.05 / $366.89 / $655.04	Facility		$208.05	$366.89	$655.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $304.89 / $358.71 / $442.80	Professional		$304.89	$358.71	$442.80
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,021.56 / $1,021.56 / $1,021.56	Professional		$1,021.56	$1,021.56	$1,021.56
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $410.87 / $410.87 / $508.32	Professional		$410.87	$410.87	$508.32
United Facility/Professional Facility Modifier Low / Median / High Price $24.60 / $218.47 / $336.17	Facility		$24.60	$218.47	$336.17
United Facility/Professional Professional Modifier Low / Median / High Price $248.31 / $292.52 / $462.63	Professional		$248.31	$292.52	$462.63