Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.65 / $102.60 / $587.67	Professional		$73.65	$102.60	$587.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.84 / $15.34 / $336.57	Facility		$13.84	$15.34	$336.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $108.31 / $153.44 / $239.37	Professional		$108.31	$153.44	$239.37
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $278.00 / $278.00 / $278.00	Facility		$278.00	$278.00	$278.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $139.90 / $139.90 / $139.90	Professional		$139.90	$139.90	$139.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.15 / $83.15 / $211.79	Facility		$83.15	$83.15	$211.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.70 / $70.68 / $228.75	Professional		$60.70	$70.68	$228.75
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $180.52 / $180.52 / $216.62	Professional		$180.52	$180.52	$216.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $137.81 / $160.78 / $310.08	Professional		$137.81	$160.78	$310.08
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $286.01 / $970.44 / $970.44	Facility		$286.01	$970.44	$970.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $83.15 / $143.82 / $234.81	Facility		$83.15	$143.82	$234.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.70 / $83.14 / $145.80	Professional		$60.70	$83.14	$145.80
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $384.44 / $384.44 / $384.44	Professional		$384.44	$384.44	$384.44
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $157.80 / $157.80 / $180.52	Professional		$157.80	$157.80	$180.52
United Facility/Professional Professional Modifier Low / Median / High Price $81.02 / $97.22 / $180.64	Professional		$81.02	$97.22	$180.64