Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $122.27 / $210.30 / $409.10	Professional		$122.27	$210.30	$409.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.92 / $30.94 / $645.89	Facility		$27.92	$30.94	$645.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.61 / $293.85 / $482.54	Professional		$208.61	$293.85	$482.54
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $472.58 / $472.58 / $472.58	Facility		$472.58	$472.58	$472.58
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $317.10	Professional		$100.00	$100.00	$317.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $263.45 / $263.45 / $325.44	Facility		$263.45	$263.45	$325.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.93 / $223.93 / $548.44	Professional		$223.93	$223.93	$548.44
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $299.68 / $299.68 / $359.62	Professional		$299.68	$299.68	$359.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $233.30 / $272.19 / $524.92	Professional		$233.30	$272.19	$524.92
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $570.23 / $1,779.10 / $1,798.02	Facility		$570.23	$1,779.10	$1,798.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $263.45 / $287.68 / $399.17	Facility		$263.45	$287.68	$399.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $223.93 / $263.45 / $275.63	Professional		$223.93	$263.45	$275.63
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $713.46 / $713.46 / $713.46	Professional		$713.46	$713.46	$713.46
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $299.68 / $299.68 / $302.82	Professional		$299.68	$299.68	$302.82
United Facility/Professional Professional Modifier Low / Median / High Price $154.05 / $188.58 / $335.23	Professional		$154.05	$188.58	$335.23