Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.25 / $189.90 / $567.41	Facility		$59.25	$189.90	$567.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.06 / $65.56 / $67.15	Professional		$43.06	$65.56	$67.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $199.08 / $199.08 / $199.08	Facility		$199.08	$199.08	$199.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.92 / $53.31 / $122.45	Professional		$39.92	$53.31	$122.45
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $57.12 / $100.00 / $222.78	Facility		$57.12	$100.00	$222.78
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $364.00 / $520.00 / $1,289.59	Professional		$364.00	$520.00	$1,289.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.90 / $91.40 / $199.75	Facility		$52.90	$91.40	$199.75
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $79.00 / $86.90 / $106.65	Professional		$79.00	$86.90	$106.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $71.09 / $90.85 / $172.22	Professional		$71.09	$90.85	$172.22
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $137.46 / $375.25 / $375.25	Facility		$137.46	$375.25	$375.25
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $395.00 / $395.00 / $592.50	Professional		$395.00	$395.00	$592.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $63.20 / $94.80 / $188.47	Facility		$63.20	$94.80	$188.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.00 / $86.90 / $118.50	Professional		$79.00	$86.90	$118.50
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $79.00 / $79.00 / $79.00	Professional		$79.00	$79.00	$79.00
United Facility/Professional Professional Modifier Low / Median / High Price $33.18 / $33.50 / $203.27	Professional		$33.18	$33.50	$203.27