Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $340.31 / $679.52 / $892.42	Facility		$340.31	$679.52	$892.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $340.31 / $343.72 / $892.42	Professional		$340.31	$343.72	$892.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $348.92 / $543.58 / $1,205.84	Facility		$348.92	$543.58	$1,205.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $339.76 / $340.31 / $1,704.77	Professional		$339.76	$340.31	$1,704.77
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $77.70 / $100.00 / $557.21	Facility		$77.70	$100.00	$557.21
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $346.73 / $346.73 / $521.59	Professional		$346.73	$346.73	$521.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $321.05 / $321.05 / $340.31	Facility		$321.05	$321.05	$340.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $340.31 / $340.31 / $386.95	Professional		$340.31	$340.31	$386.95
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $266.58 / $340.04 / $408.05	Professional		$266.58	$340.04	$408.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $306.27 / $391.36 / $771.21	Professional		$306.27	$391.36	$771.21
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $22,830.00 / $29,984.75 / $29,984.75	Facility		$22,830.00	$29,984.75	$29,984.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $321.05 / $340.31 / $486.64	Facility		$321.05	$340.31	$486.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $328.91 / $340.31 / $736.09	Professional		$328.91	$340.31	$736.09
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $606.29 / $606.29 / $606.29	Professional		$606.29	$606.29	$606.29
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $272.25 / $374.34 / $578.53	Professional		$272.25	$374.34	$578.53
United Facility/Professional Professional Modifier Low / Median / High Price $340.31 / $340.31 / $699.47	Professional		$340.31	$340.31	$699.47