Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.83 / $141.94 / $921.56	Professional		$115.83	$141.94	$921.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.78 / $24.13 / $527.17	Facility		$21.78	$24.13	$527.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $170.34 / $241.32 / $376.46	Professional		$170.34	$241.32	$376.46
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $437.21 / $437.21 / $437.21	Facility		$437.21	$437.21	$437.21
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $172.63 / $293.51	Professional		$100.00	$172.63	$293.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $244.43 / $244.43 / $444.33	Facility		$244.43	$244.43	$444.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $178.43 / $207.77 / $358.88	Professional		$178.43	$207.77	$358.88
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $283.89 / $283.89 / $340.68	Professional		$283.89	$283.89	$340.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $217.58 / $253.85 / $489.56	Professional		$217.58	$253.85	$489.56
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $483.11 / $1,550.44 / $1,550.44	Facility		$483.11	$1,550.44	$1,550.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $224.97 / $244.43 / $369.30	Facility		$224.97	$244.43	$369.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $178.43 / $207.77 / $313.91	Professional		$178.43	$207.77	$313.91
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $602.86 / $602.86 / $602.86	Professional		$602.86	$602.86	$602.86
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $247.17 / $247.17 / $283.89	Professional		$247.17	$247.17	$283.89
United Facility/Professional Professional Modifier Low / Median / High Price $130.12 / $152.44 / $273.02	Professional		$130.12	$152.44	$273.02