Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $549.54 / $891.25	Facility		$354.81	$549.54	$891.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $263.03 / $524.81	Professional		$257.04	$263.03	$524.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $316.23 / $676.08	Facility		$275.42	$316.23	$676.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $263.03 / $416.87	Professional		$234.42	$263.03	$416.87
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $138.04 / $489.78	Facility		$85.11	$138.04	$489.78
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $302.00 / $562.34	Professional		$263.03	$302.00	$562.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $245.47 / $263.03	Facility		$245.47	$245.47	$263.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $263.03 / $281.84	Professional		$263.03	$263.03	$281.84
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $257.04 / $346.74	Professional		$257.04	$257.04	$346.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $275.42 / $457.09	Professional		$234.42	$275.42	$457.09
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $1,288.25	Facility		$1,288.25	$1,288.25	$1,288.25
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,096.48	Professional		$1,096.48	$1,096.48	$1,096.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $281.84 / $457.09	Facility		$263.03	$281.84	$457.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $263.03 / $316.23	Professional		$263.03	$263.03	$316.23
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $354.81 / $354.81	Professional		$354.81	$354.81	$354.81
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $288.40 / $446.68	Professional		$208.93	$288.40	$446.68
United Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $676.08 / $676.08	Facility		$263.03	$676.08	$676.08
United Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $263.03 / $316.23	Professional		$263.03	$263.03	$316.23