Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $224.49 / $320.22 / $620.75	Professional		$224.49	$320.22	$620.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.10 / $40.00 / $946.54	Facility		$36.10	$40.00	$946.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $394.45 / $517.29 / $726.85	Professional		$394.45	$517.29	$726.85
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $867.67 / $867.67 / $867.67	Facility		$867.67	$867.67	$867.67
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $319.38 / $582.21	Professional		$100.00	$319.38	$582.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $376.09 / $376.09 / $582.21	Facility		$376.09	$376.09	$582.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $319.68 / $376.09 / $661.50	Professional		$319.68	$376.09	$661.50
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $550.23 / $550.23 / $660.28	Professional		$550.23	$550.23	$660.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $405.60 / $473.20 / $811.20	Professional		$405.60	$473.20	$811.20
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $713.16 / $2,699.33 / $2,699.33	Facility		$713.16	$2,699.33	$2,699.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $232.78 / $390.60 / $732.89	Facility		$232.78	$390.60	$732.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $319.68 / $376.09 / $459.00	Professional		$319.68	$376.09	$459.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,115.35 / $1,115.35 / $1,115.35	Professional		$1,115.35	$1,115.35	$1,115.35
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $443.78 / $443.78 / $550.23	Professional		$443.78	$443.78	$550.23
United Facility/Professional Professional Modifier Low / Median / High Price $277.82 / $297.92 / $505.11	Professional		$277.82	$297.92	$505.11