Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $156.06 / $233.58 / $1,376.97	Professional		$156.06	$233.58	$1,376.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.61 / $39.47 / $812.27	Facility		$35.61	$39.47	$812.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $266.26 / $375.06 / $615.89	Professional		$266.26	$375.06	$615.89
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $603.16 / $603.16 / $603.16	Facility		$603.16	$603.16	$603.16
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $257.93 / $404.73	Professional		$100.00	$257.93	$404.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $331.53 / $331.53 / $404.73	Facility		$331.53	$331.53	$404.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $281.80 / $331.53 / $552.00	Professional		$281.80	$331.53	$552.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $382.49 / $382.49 / $458.99	Professional		$382.49	$382.49	$458.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $295.64 / $344.93 / $665.21	Professional		$295.64	$344.93	$665.21
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $717.57 / $2,238.82 / $2,261.19	Facility		$717.57	$2,238.82	$2,261.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $331.53 / $357.50 / $509.48	Facility		$331.53	$357.50	$509.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $281.80 / $331.53 / $357.50	Professional		$281.80	$331.53	$357.50
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $900.78 / $900.78 / $900.78	Professional		$900.78	$900.78	$900.78
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $380.83 / $380.83 / $382.49	Professional		$380.83	$380.83	$382.49
United Facility/Professional Professional Modifier Low / Median / High Price $198.41 / $238.09 / $407.93	Professional		$198.41	$238.09	$407.93