Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $239.88 / $281.84	Professional		$97.72	$239.88	$281.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $588.84 / $588.84	Facility		$588.84	$588.84	$588.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $239.88 / $354.81	Professional		$169.82	$239.88	$354.81
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $831.76 / $1,202.26	Professional		$354.81	$831.76	$1,202.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $436.52 / $436.52	Facility		$436.52	$436.52	$436.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $114.82 / $114.82	Professional		$114.82	$114.82	$114.82
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $354.81 / $407.38	Professional		$323.59	$354.81	$407.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $295.12 / $323.59	Professional		$234.42	$295.12	$323.59
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $1,513.56	Facility		$1,513.56	$1,513.56	$1,513.56
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,778.28 / $1,778.28	Professional		$1,584.89	$1,778.28	$1,778.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $363.08 / $363.08	Professional		$363.08	$363.08	$363.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $275.42 / $323.59	Facility		$134.90	$275.42	$323.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $117.49 / $117.49	Professional		$117.49	$117.49	$117.49
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $602.56 / $602.56	Professional		$602.56	$602.56	$602.56
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $177.83 / $263.03	Professional		$177.83	$177.83	$263.03
United Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $120.23 / $275.42	Professional		$109.65	$120.23	$275.42