Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.88 / $200.57 / $276.77	Professional		$98.88	$200.57	$276.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $576.46 / $576.46 / $576.46	Facility		$576.46	$576.46	$576.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $179.78 / $197.76 / $319.27	Professional		$179.78	$197.76	$319.27
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $807.06 / $1,178.73	Professional		$100.00	$807.06	$1,178.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.94 / $114.94 / $114.94	Professional		$114.94	$114.94	$114.94
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $319.27 / $351.21 / $383.14	Professional		$319.27	$351.21	$383.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $223.50 / $287.35 / $399.10	Professional		$223.50	$287.35	$399.10
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $462.96 / $486.10 / $1,516.58	Facility		$462.96	$486.10	$1,516.58
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,580.44 / $1,580.44 / $1,795.95	Professional		$1,580.44	$1,580.44	$1,795.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $163.97 / $319.27 / $319.27	Facility		$163.97	$319.27	$319.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $114.94 / $114.94 / $374.16	Professional		$114.94	$114.94	$374.16
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $602.63 / $602.63 / $602.63	Professional		$602.63	$602.63	$602.63
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $177.51 / $177.51 / $255.42	Professional		$177.51	$177.51	$255.42
United Facility/Professional Professional Modifier Low / Median / High Price $110.45 / $119.47 / $336.60	Professional		$110.45	$119.47	$336.60