Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $183.43 / $378.55 / $497.89	Professional		$183.43	$378.55	$497.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $935.32 / $935.32 / $935.32	Facility		$935.32	$935.32	$935.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $333.52 / $366.87 / $592.30	Professional		$333.52	$366.87	$592.30
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $1,309.48 / $1,912.53	Professional		$100.00	$1,309.48	$1,912.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.23 / $213.23 / $213.23	Professional		$213.23	$213.23	$213.23
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $518.04 / $569.84 / $621.65	Professional		$518.04	$569.84	$621.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $466.24 / $466.24 / $647.54	Professional		$466.24	$466.24	$647.54
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $751.16 / $1,174.70 / $2,460.69	Facility		$751.16	$1,174.70	$2,460.69
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,931.93 / $2,931.93 / $3,331.73	Professional		$2,931.93	$2,931.93	$3,331.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $282.33 / $518.04 / $518.65	Facility		$282.33	$518.04	$518.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $213.23 / $213.23 / $607.08	Professional		$213.23	$213.23	$607.08
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $977.80 / $977.80 / $977.80	Professional		$977.80	$977.80	$977.80
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $312.80 / $312.80 / $414.43	Professional		$312.80	$312.80	$414.43
United Facility/Professional Professional Modifier Low / Median / High Price $204.91 / $221.62 / $546.15	Professional		$204.91	$221.62	$546.15