Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.60 / $322.42 / $963.39	Facility		$100.60	$322.42	$963.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.09 / $111.33 / $114.01	Professional		$73.09	$111.33	$114.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $244.00 / $614.00 / $876.00	Facility		$244.00	$614.00	$876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $279.68 / $839.08 / $1,314.57	Professional		$279.68	$839.08	$1,314.57
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $82.09 / $100.00 / $378.25	Facility		$82.09	$100.00	$378.25
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $61.03 / $87.18 / $219.16	Professional		$61.03	$87.18	$219.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.82 / $155.18 / $339.13	Facility		$89.82	$155.18	$339.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,599.84 / $1,640.24 / $1,807.50	Professional		$1,599.84	$1,640.24	$1,807.50
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $134.13 / $160.96 / $214.61	Professional		$134.13	$160.96	$214.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $120.72 / $154.25 / $292.39	Professional		$120.72	$154.25	$292.39
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $233.39 / $637.12 / $637.12	Facility		$233.39	$637.12	$637.12
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $670.65 / $670.65 / $1,005.98	Professional		$670.65	$670.65	$1,005.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $107.30 / $160.96 / $314.67	Facility		$107.30	$160.96	$314.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $134.13 / $147.54 / $1,619.23	Professional		$134.13	$147.54	$1,619.23
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $134.13 / $134.13 / $134.13	Professional		$134.13	$134.13	$134.13
United Facility/Professional Professional Modifier Low / Median / High Price $56.33 / $56.33 / $345.12	Professional		$56.33	$56.33	$345.12