Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.88 / $263.29 / $812.81	Facility		$84.88	$263.29	$812.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.68 / $86.16 / $96.19	Professional		$61.68	$86.16	$96.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $119.16 / $222.28 / $486.00	Facility		$119.16	$222.28	$486.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.27 / $58.85 / $182.40	Professional		$45.27	$58.85	$182.40
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $57.50 / $100.00 / $1,026.45	Facility		$57.50	$100.00	$1,026.45
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $51.49 / $73.56 / $184.92	Professional		$51.49	$73.56	$184.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.33 / $153.72 / $306.83	Facility		$67.33	$153.72	$306.83
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $73.33 / $91.66 / $123.74	Professional		$73.33	$91.66	$123.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $82.49 / $105.41 / $201.65	Professional		$82.49	$105.41	$201.65
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $159.49 / $435.39 / $435.39	Facility		$159.49	$435.39	$435.39
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $458.30 / $458.30 / $687.45	Professional		$458.30	$458.30	$687.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $73.78 / $114.58 / $262.93	Facility		$73.78	$114.58	$262.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $91.66 / $100.83 / $137.49	Professional		$91.66	$100.83	$137.49
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $91.66 / $91.66 / $91.66	Professional		$91.66	$91.66	$91.66
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $73.33 / $82.49 / $124.66	Professional		$73.33	$82.49	$124.66
United Facility/Professional Professional Modifier Low / Median / High Price $38.50 / $47.53 / $220.72	Professional		$38.50	$47.53	$220.72