Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $263.03 / $1,819.70	Professional		$154.88	$263.03	$1,819.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $39.81 / $39.81	Facility		$39.81	$39.81	$39.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $371.54 / $1,000.00	Professional		$190.55	$371.54	$1,000.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $602.56 / $891.25	Facility		$602.56	$602.56	$891.25
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $467.74 / $1,778.28	Professional		$257.04	$467.74	$1,778.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $331.13 / $407.38	Facility		$331.13	$331.13	$407.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $331.13 / $549.54	Professional		$281.84	$331.13	$549.54
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $380.19 / $457.09	Professional		$380.19	$380.19	$457.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $354.81 / $602.56	Professional		$302.00	$354.81	$602.56
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $2,238.72 / $2,238.72	Facility		$741.31	$2,238.72	$2,238.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $363.08 / $524.81	Facility		$331.13	$363.08	$524.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $331.13 / $354.81	Professional		$281.84	$331.13	$354.81
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $891.25 / $891.25	Professional		$891.25	$891.25	$891.25
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $380.19 / $389.05	Professional		$380.19	$380.19	$389.05
United Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $154.88 / $302.00	Facility		$16.98	$154.88	$302.00
United Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $239.88 / $478.63	Professional		$186.21	$239.88	$478.63