Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $150.79 / $305.87 / $413.87	Professional		$150.79	$305.87	$413.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $659.31 / $659.31 / $659.31	Facility		$659.31	$659.31	$659.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $274.16 / $301.58 / $486.90	Professional		$274.16	$301.58	$486.90
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $923.04 / $1,348.12	Professional		$100.00	$923.04	$1,348.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $175.28 / $175.28 / $175.28	Professional		$175.28	$175.28	$175.28
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $365.17 / $401.69 / $438.20	Professional		$365.17	$401.69	$438.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $328.65 / $328.65 / $474.72	Professional		$328.65	$328.65	$474.72
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $619.47 / $741.30 / $1,957.92	Facility		$619.47	$741.30	$1,957.92
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,424.76 / $2,424.76 / $2,781.83	Professional		$2,424.76	$2,424.76	$2,781.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $219.60 / $365.17 / $426.34	Facility		$219.60	$365.17	$426.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $175.28 / $175.28 / $463.43	Professional		$175.28	$175.28	$463.43
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $689.24 / $689.24 / $689.24	Professional		$689.24	$689.24	$689.24
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $278.61 / $278.61 / $292.14	Professional		$278.61	$278.61	$292.14
United Facility/Professional Professional Modifier Low / Median / High Price $168.44 / $182.18 / $422.05	Professional		$168.44	$182.18	$422.05