Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.11 / $420.21 / $1,255.58	Facility		$131.11	$420.21	$1,255.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.27 / $145.09 / $148.59	Professional		$95.27	$145.09	$148.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $227.25 / $396.94 / $875.80	Facility		$227.25	$396.94	$875.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $180.36 / $559.12 / $847.71	Professional		$180.36	$559.12	$847.71
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.40 / $230.75 / $1,568.05	Facility		$59.40	$230.75	$1,568.05
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $79.54 / $113.63 / $285.64	Professional		$79.54	$113.63	$285.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.06 / $202.26 / $442.02	Facility		$117.06	$202.26	$442.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $118.87 / $1,637.82 / $1,807.50	Professional		$118.87	$1,637.82	$1,807.50
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $174.81 / $209.77 / $279.70	Professional		$174.81	$209.77	$279.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $157.33 / $201.03 / $384.58	Professional		$157.33	$201.03	$384.58
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $304.17 / $830.35 / $830.35	Facility		$304.17	$830.35	$830.35
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $874.05 / $874.05 / $1,311.08	Professional		$874.05	$874.05	$1,311.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $139.85 / $209.77 / $417.11	Facility		$139.85	$209.77	$417.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $174.81 / $192.29 / $1,619.23	Professional		$174.81	$192.29	$1,619.23
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $174.81 / $174.81 / $174.81	Professional		$174.81	$174.81	$174.81
United Facility/Professional Facility Modifier Low / Median / High Price $209.77 / $209.77 / $209.77	Facility		$209.77	$209.77	$209.77
United Facility/Professional Professional Modifier Low / Median / High Price $73.42 / $74.12 / $347.31	Professional		$73.42	$74.12	$347.31