Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $166.85 / $237.99 / $468.18	Professional		$166.85	$237.99	$468.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.45 / $29.31 / $688.87	Facility		$26.45	$29.31	$688.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $293.13 / $384.47 / $476.99	Professional		$293.13	$384.47	$476.99
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $644.88 / $644.88 / $644.88	Facility		$644.88	$644.88	$644.88
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $233.97 / $432.71	Professional		$100.00	$233.97	$432.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $277.51 / $277.51 / $432.71	Facility		$277.51	$277.51	$432.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $235.88 / $277.51 / $492.00	Professional		$235.88	$277.51	$492.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $408.76 / $408.76 / $490.51	Professional		$408.76	$408.76	$490.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $301.31 / $351.53 / $677.94	Professional		$301.31	$351.53	$677.94
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $530.34 / $1,990.31 / $1,990.31	Facility		$530.34	$1,990.31	$1,990.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $173.01 / $294.27 / $544.69	Facility		$173.01	$294.27	$544.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $235.88 / $277.51 / $331.28	Professional		$235.88	$277.51	$331.28
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $817.08 / $817.08 / $817.08	Professional		$817.08	$817.08	$817.08
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $322.98 / $322.98 / $408.76	Professional		$322.98	$322.98	$408.76
United Facility/Professional Professional Modifier Low / Median / High Price $206.49 / $221.34 / $370.03	Professional		$206.49	$221.34	$370.03