Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $457.09 / $2,754.23	Professional		$269.15	$457.09	$2,754.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $56.23 / $56.23	Facility		$56.23	$56.23	$56.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $562.34 / $1,513.56	Professional		$331.13	$562.34	$1,513.56
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $1,380.38	Facility		$1,023.29	$1,023.29	$1,380.38
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $707.95 / $2,754.23	Professional		$407.38	$707.95	$2,754.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $275.42 / $707.95	Facility		$275.42	$275.42	$707.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $234.42 / $891.25	Professional		$204.17	$234.42	$891.25
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $660.69 / $794.33	Professional		$660.69	$660.69	$794.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $616.60 / $1,000.00	Professional		$524.81	$616.60	$1,000.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $3,630.78 / $3,630.78	Facility		$1,174.90	$3,630.78	$3,630.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $562.34 / $891.25	Facility		$275.42	$562.34	$891.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $234.42 / $275.42	Professional		$204.17	$234.42	$275.42
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $1,412.54	Professional		$1,412.54	$1,412.54	$1,412.54
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $602.56 / $660.69	Professional		$602.56	$602.56	$660.69
United Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $218.78 / $467.74	Facility		$25.70	$218.78	$467.74
United Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $363.08 / $758.58	Professional		$281.84	$363.08	$758.58