Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.82 / $275.07 / $821.93	Facility		$85.82	$275.07	$821.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.36 / $94.98 / $97.27	Professional		$62.36	$94.98	$97.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $148.76 / $269.91 / $581.29	Facility		$148.76	$269.91	$581.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.77 / $59.50 / $208.26	Professional		$45.77	$59.50	$208.26
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $58.70 / $100.00 / $1,037.88	Facility		$58.70	$100.00	$1,037.88
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $52.07 / $74.38 / $186.98	Professional		$52.07	$74.38	$186.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $77.79 / $191.90 / $383.06	Facility		$77.79	$191.90	$383.06
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $114.43 / $137.32 / $183.09	Professional		$114.43	$137.32	$183.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $102.99 / $131.59 / $251.75	Professional		$102.99	$131.59	$251.75
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $199.11 / $543.54 / $543.54	Facility		$199.11	$543.54	$543.54
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $572.15 / $572.15 / $858.23	Professional		$572.15	$572.15	$858.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $91.54 / $137.32 / $328.24	Facility		$91.54	$137.32	$328.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $114.43 / $125.87 / $164.78	Professional		$114.43	$125.87	$164.78
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $114.43 / $114.43 / $114.43	Professional		$114.43	$114.43	$114.43
United Facility/Professional Professional Modifier Low / Median / High Price $48.06 / $52.07 / $294.43	Professional		$48.06	$52.07	$294.43