Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.50 / $360.57 / $1,077.38	Facility		$112.50	$360.57	$1,077.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.75 / $124.50 / $127.50	Professional		$81.75	$124.50	$127.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $378.00 / $378.00 / $378.00	Facility		$378.00	$378.00	$378.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.81 / $101.23 / $261.00	Professional		$75.81	$101.23	$261.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $91.80 / $108.45 / $423.00	Facility		$91.80	$108.45	$423.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $68.25 / $97.50 / $245.11	Professional		$68.25	$97.50	$245.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $101.96 / $251.55 / $502.13	Facility		$101.96	$251.55	$502.13
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $165.00 / $202.50	Professional		$150.00	$165.00	$202.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $135.00 / $172.50 / $327.00	Professional		$135.00	$172.50	$327.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $261.00 / $712.50 / $712.50	Facility		$261.00	$712.50	$712.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $750.00 / $750.00 / $1,125.00	Professional		$750.00	$750.00	$1,125.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $105.00 / $105.00 / $105.00	Professional		$105.00	$105.00	$105.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $120.00 / $180.00 / $430.27	Facility		$120.00	$180.00	$430.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $165.00 / $225.00	Professional		$150.00	$165.00	$225.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $150.00 / $150.00	Professional		$150.00	$150.00	$150.00
United Facility/Professional Professional Modifier Low / Median / High Price $63.00 / $63.60 / $298.02	Professional		$63.00	$63.60	$298.02