Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $501.19 / $812.83	Facility		$281.84	$501.19	$812.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $239.88 / $478.63	Professional		$239.88	$239.88	$478.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $295.12 / $630.96	Facility		$257.04	$295.12	$630.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $245.47 / $389.05	Professional		$234.42	$245.47	$389.05
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $229.09 / $524.81	Facility		$85.11	$229.09	$524.81
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $275.42 / $537.03	Professional		$239.88	$275.42	$537.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $229.09 / $239.88	Facility		$229.09	$229.09	$239.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $239.88 / $263.03	Professional		$239.88	$239.88	$263.03
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $316.23	Professional		$234.42	$234.42	$316.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $257.04 / $446.68	Professional		$213.80	$257.04	$446.68
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $1,174.90	Facility		$1,174.90	$1,174.90	$1,174.90
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $1,023.29	Professional		$1,023.29	$1,023.29	$1,023.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $263.03 / $436.52	Facility		$239.88	$263.03	$436.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $239.88 / $288.40	Professional		$239.88	$239.88	$288.40
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $363.08 / $363.08	Professional		$363.08	$363.08	$363.08
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $263.03 / $407.38	Professional		$190.55	$263.03	$407.38
United Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $676.08 / $676.08	Facility		$239.88	$676.08	$676.08
United Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $239.88 / $288.40	Professional		$239.88	$239.88	$288.40