Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $316.23 / $1,949.84	Professional		$213.80	$316.23	$1,949.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $37.15 / $37.15	Facility		$37.15	$37.15	$37.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $426.58 / $1,584.89	Professional		$263.03	$426.58	$1,584.89
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $812.83 / $954.99	Facility		$812.83	$812.83	$954.99
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $501.19 / $1,905.46	Professional		$295.12	$501.19	$1,905.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $354.81 / $549.54	Facility		$354.81	$354.81	$549.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $354.81 / $616.60	Professional		$302.00	$354.81	$616.60
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $524.81 / $616.60	Professional		$524.81	$524.81	$616.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $457.09 / $776.25	Professional		$389.05	$457.09	$776.25
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $2,570.40 / $2,570.40	Facility		$851.14	$2,570.40	$2,570.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $389.05 / $707.95	Facility		$218.78	$389.05	$707.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $354.81 / $426.58	Professional		$302.00	$354.81	$426.58
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $1,023.29	Professional		$1,023.29	$1,023.29	$1,023.29
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $416.87 / $524.81	Professional		$416.87	$416.87	$524.81
United Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $186.21 / $323.59	Facility		$21.88	$186.21	$323.59
United Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $295.12 / $549.54	Professional		$234.42	$295.12	$549.54