Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $155.58 / $240.04 / $1,381.44	Professional		$155.58	$240.04	$1,381.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.53 / $39.36 / $816.77	Facility		$35.53	$39.36	$816.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $265.45 / $373.92 / $614.02	Professional		$265.45	$373.92	$614.02
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $601.34 / $601.34 / $601.34	Facility		$601.34	$601.34	$601.34
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $258.77 / $403.50	Professional		$100.00	$258.77	$403.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $333.25 / $333.25 / $403.50	Facility		$333.25	$333.25	$403.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $283.26 / $333.25 / $555.00	Professional		$283.26	$333.25	$555.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $381.33 / $381.33 / $457.60	Professional		$381.33	$381.33	$457.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $295.98 / $345.31 / $665.96	Professional		$295.98	$345.31	$665.96
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $721.29 / $2,250.42 / $2,273.73	Facility		$721.29	$2,250.42	$2,273.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $333.25 / $355.54 / $507.91	Facility		$333.25	$355.54	$507.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $283.26 / $333.25 / $351.00	Professional		$283.26	$333.25	$351.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $903.70 / $903.70 / $903.70	Professional		$903.70	$903.70	$903.70
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $381.33 / $381.33 / $382.94	Professional		$381.33	$381.33	$382.94
United Facility/Professional Professional Modifier Low / Median / High Price $206.84 / $238.87 / $409.26	Professional		$206.84	$238.87	$409.26