Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $323.59 / $524.81	Facility		$109.65	$323.59	$524.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $64.57 / $89.13	Professional		$51.29	$64.57	$89.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $199.53 / $199.53	Facility		$199.53	$199.53	$199.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $58.88 / $134.90	Professional		$40.74	$58.88	$134.90
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $177.83 / $223.87	Facility		$57.54	$177.83	$223.87
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $602.56 / $1,174.90	Professional		$363.08	$602.56	$1,174.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $102.33 / $257.04	Facility		$52.48	$102.33	$257.04
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $87.10 / $107.15	Professional		$79.43	$87.10	$107.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $87.10 / $138.04	Professional		$70.79	$87.10	$138.04
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $371.54 / $371.54	Facility		$371.54	$371.54	$371.54
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $588.84 / $588.84	Professional		$398.11	$588.84	$588.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $95.50 / $194.98	Facility		$60.26	$95.50	$194.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $87.10 / $114.82	Professional		$79.43	$87.10	$114.82
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Professional		$79.43	$79.43	$79.43
United Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $33.11 / $151.36	Professional		$33.11	$33.11	$151.36