Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $392.09 / $787.74 / $1,034.24	Facility		$392.09	$787.74	$1,034.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $392.09 / $399.22 / $735.50	Professional		$392.09	$399.22	$735.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $403.72 / $626.29 / $1,389.33	Facility		$403.72	$626.29	$1,389.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $392.09 / $393.87 / $622.67	Professional		$392.09	$393.87	$622.67
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $77.70 / $100.00 / $471.86	Facility		$77.70	$100.00	$471.86
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $399.49 / $399.49 / $571.30	Professional		$399.49	$399.49	$571.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $369.90 / $369.90 / $401.08	Facility		$369.90	$369.90	$401.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $392.09 / $392.09 / $430.82	Professional		$392.09	$392.09	$430.82
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $316.20 / $395.26 / $434.79	Professional		$316.20	$395.26	$434.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $352.88 / $431.30 / $862.60	Professional		$352.88	$431.30	$862.60
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $524.63 / $1,973.75 / $1,973.75	Facility		$524.63	$1,973.75	$1,973.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $369.90 / $392.09 / $543.84	Facility		$369.90	$392.09	$543.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $392.09 / $392.09 / $605.71	Professional		$392.09	$392.09	$605.71
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $702.65 / $702.65 / $702.65	Professional		$702.65	$702.65	$702.65
United Facility/Professional Professional Modifier Low / Median / High Price $377.49 / $392.09 / $759.56	Professional		$377.49	$392.09	$759.56