Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $202.03 / $288.18 / $1,400.01	Professional		$202.03	$288.18	$1,400.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.03 / $35.49 / $743.69	Facility		$32.03	$35.49	$743.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $354.94 / $465.50 / $553.71	Professional		$354.94	$465.50	$553.71
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $780.86 / $780.86 / $780.86	Facility		$780.86	$780.86	$780.86
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $262.25 / $523.96	Professional		$100.00	$262.25	$523.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $299.44 / $299.44 / $523.96	Facility		$299.44	$299.44	$523.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $254.52 / $299.44 / $526.88	Professional		$254.52	$299.44	$526.88
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $469.33 / $469.33 / $563.20	Professional		$469.33	$469.33	$563.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $345.67 / $403.28 / $777.76	Professional		$345.67	$403.28	$777.76
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $604.30 / $2,147.32 / $2,147.32	Facility		$604.30	$2,147.32	$2,147.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $209.50 / $328.62 / $659.54	Facility		$209.50	$328.62	$659.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $254.52 / $299.44 / $365.81	Professional		$254.52	$299.44	$365.81
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $915.85 / $915.85 / $915.85	Professional		$915.85	$915.85	$915.85
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $348.68 / $348.68 / $469.33	Professional		$348.68	$348.68	$469.33
United Facility/Professional Professional Modifier Low / Median / High Price $235.28 / $261.44 / $522.54	Professional		$235.28	$261.44	$522.54