Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.53 / $158.90 / $650.20	Facility		$138.53	$158.90	$650.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.95 / $158.90 / $650.20	Professional		$85.95	$158.90	$650.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $108.38 / $229.61 / $515.55	Facility		$108.38	$229.61	$515.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.83 / $42.47 / $135.50	Professional		$38.83	$42.47	$135.50
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $73.11 / $124.98 / $285.16	Facility		$73.11	$124.98	$285.16
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $84.43 / $120.61 / $301.58	Professional		$84.43	$120.61	$301.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.27 / $174.84 / $338.51	Facility		$74.27	$174.84	$338.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.88 / $87.11 / $273.83	Professional		$53.88	$87.11	$273.83
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $101.12 / $111.23 / $136.51	Professional		$101.12	$111.23	$136.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $91.01 / $116.29 / $222.46	Professional		$91.01	$116.29	$222.46
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $175.95 / $655.68 / $655.68	Facility		$175.95	$655.68	$655.68
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $505.60 / $505.60 / $758.40	Professional		$505.60	$505.60	$758.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $93.99 / $132.77 / $298.30	Facility		$93.99	$132.77	$298.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $67.23 / $116.29 / $202.24	Professional		$67.23	$116.29	$202.24
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $354.93 / $354.93 / $354.93	Professional		$354.93	$354.93	$354.93
United Facility/Professional Professional Modifier Low / Median / High Price $42.47 / $42.47 / $202.95	Professional		$42.47	$42.47	$202.95