Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $403.49 / $3,523.28	Facility		$85.00	$403.49	$3,523.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $206.16 / $1,893.76	Professional		$85.00	$206.16	$1,893.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $260.00 / $587.57 / $1,451.98	Facility		$260.00	$587.57	$1,451.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $145.44 / $180.58 / $444.51	Professional		$145.44	$180.58	$444.51
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $92.60 / $212.94 / $830.55	Facility		$92.60	$212.94	$830.55
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $182.54 / $260.77 / $529.96	Professional		$182.54	$260.77	$529.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $216.33 / $509.23 / $1,025.34	Facility		$216.33	$509.23	$1,025.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $163.66 / $240.88 / $1,057.04	Professional		$163.66	$240.88	$1,057.04
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $294.52 / $323.97 / $397.60	Professional		$294.52	$323.97	$397.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $265.07 / $338.70 / $642.04	Professional		$265.07	$338.70	$642.04
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $512.46 / $1,398.97 / $1,398.97	Facility		$512.46	$1,398.97	$1,398.97
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,472.60 / $1,472.60 / $2,208.90	Professional		$1,472.60	$1,472.60	$2,208.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $353.43 / $353.43 / $353.43	Professional		$353.43	$353.43	$353.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $191.44 / $353.42 / $892.11	Facility		$191.44	$353.42	$892.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $195.69 / $346.31 / $807.25	Professional		$195.69	$346.31	$807.25
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,033.76 / $1,033.76 / $1,033.76	Professional		$1,033.76	$1,033.76	$1,033.76
United Facility/Professional Professional Modifier Low / Median / High Price $123.70 / $168.75 / $654.72	Professional		$123.70	$168.75	$654.72