Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $289.56 / $403.36 / $2,279.06	Professional		$289.56	$403.36	$2,279.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $54.45 / $60.33 / $1,298.02	Facility		$54.45	$60.33	$1,298.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $425.83 / $603.26 / $941.09	Professional		$425.83	$603.26	$941.09
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $1,092.97 / $1,092.97 / $1,092.97	Facility		$1,092.97	$1,092.97	$1,092.97
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $426.91 / $733.39	Professional		$100.00	$426.91	$733.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $647.96 / $647.96 / $1,040.03	Facility		$647.96	$647.96	$1,040.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $473.01 / $550.77 / $889.50	Professional		$473.01	$550.77	$889.50
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $709.72 / $709.72 / $851.66	Professional		$709.72	$709.72	$851.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $535.02 / $624.19 / $1,070.04	Professional		$535.02	$624.19	$1,070.04
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,130.85 / $3,751.53 / $3,751.53	Facility		$1,130.85	$3,751.53	$3,751.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $553.91 / $646.24 / $923.20	Facility		$553.91	$646.24	$923.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $473.01 / $647.96 / $647.96	Professional		$473.01	$647.96	$647.96
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,490.91 / $1,490.91 / $1,490.91	Professional		$1,490.91	$1,490.91	$1,490.91
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $608.58 / $608.58 / $709.72	Professional		$608.58	$608.58	$709.72
United Facility/Professional Professional Modifier Low / Median / High Price $325.76 / $379.17 / $675.18	Professional		$325.76	$379.17	$675.18