Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $331.13 / $2,089.30	Professional		$223.87	$331.13	$2,089.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $39.81 / $39.81	Facility		$39.81	$39.81	$39.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $457.09 / $1,698.24	Professional		$275.42	$457.09	$1,698.24
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $870.96 / $1,047.13	Facility		$870.96	$870.96	$1,047.13
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $537.03 / $2,089.30	Professional		$316.23	$537.03	$2,089.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $380.19 / $588.84	Facility		$380.19	$380.19	$588.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $380.19 / $660.69	Professional		$316.23	$380.19	$660.69
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $549.54 / $660.69	Professional		$549.54	$549.54	$660.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $489.78 / $831.76	Professional		$416.87	$489.78	$831.76
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $2,691.53 / $2,691.53	Facility		$870.96	$2,691.53	$2,691.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $398.11 / $741.31	Facility		$234.42	$398.11	$741.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $380.19 / $446.68	Professional		$316.23	$380.19	$446.68
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,122.02	Professional		$1,122.02	$1,122.02	$1,122.02
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $457.09 / $549.54	Professional		$457.09	$457.09	$549.54
United Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $194.98 / $338.84	Facility		$23.44	$194.98	$338.84
United Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $309.03 / $602.56	Professional		$251.19	$309.03	$602.56