Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $243.61 / $486.30 / $558.32	Facility		$243.61	$486.30	$558.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $243.61 / $246.04 / $558.32	Professional		$243.61	$246.04	$558.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $253.61 / $389.12 / $863.21	Facility		$253.61	$389.12	$863.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $243.15 / $243.61 / $474.14	Professional		$243.15	$243.61	$474.14
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $62.90 / $95.60 / $280.63	Facility		$62.90	$95.60	$280.63
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $248.20 / $248.20 / $335.19	Professional		$248.20	$248.20	$335.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $229.82 / $229.82 / $243.61	Facility		$229.82	$229.82	$243.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $243.61 / $243.61 / $280.63	Professional		$243.61	$243.61	$280.63
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $212.35 / $235.95 / $282.92	Professional		$212.35	$235.95	$282.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $219.25 / $243.61 / $552.07	Professional		$219.25	$243.61	$552.07
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $313.61 / $1,178.84 / $1,218.05	Facility		$313.61	$1,178.84	$1,218.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $229.82 / $243.61 / $343.43	Facility		$229.82	$243.61	$343.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $227.36 / $243.61 / $336.76	Professional		$227.36	$243.61	$336.76
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $379.30 / $379.30 / $379.30	Professional		$379.30	$379.30	$379.30
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $194.89 / $267.97 / $365.41	Professional		$194.89	$267.97	$365.41
United Facility/Professional Professional Modifier Low / Median / High Price $243.61 / $243.61 / $489.10	Professional		$243.61	$243.61	$489.10