Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.25 / $257.20 / $768.53	Facility		$80.25	$257.20	$768.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.32 / $88.81 / $90.95	Professional		$58.32	$88.81	$90.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $244.00 / $532.86 / $876.00	Facility		$244.00	$532.86	$876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $135.44 / $169.31 / $272.85	Professional		$135.44	$169.31	$272.85
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $77.36 / $132.25 / $301.74	Facility		$77.36	$132.25	$301.74
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $48.69 / $69.55 / $174.84	Professional		$48.69	$69.55	$174.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $71.65 / $123.80 / $270.55	Facility		$71.65	$123.80	$270.55
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $107.00 / $117.70 / $144.44	Professional		$107.00	$117.70	$144.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $96.30 / $123.05 / $233.26	Professional		$96.30	$123.05	$233.26
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $186.18 / $508.25 / $508.25	Facility		$186.18	$508.25	$508.25
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $535.00 / $535.00 / $802.50	Professional		$535.00	$535.00	$802.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $85.60 / $128.40 / $255.68	Facility		$85.60	$128.40	$255.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $107.00 / $117.70 / $160.50	Professional		$107.00	$117.70	$160.50
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $107.00 / $107.00 / $107.00	Professional		$107.00	$107.00	$107.00
United Facility/Professional Professional Modifier Low / Median / High Price $44.94 / $48.15 / $257.64	Professional		$44.94	$48.15	$257.64