Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $205.50 / $209.72 / $964.50	Facility		$205.50	$209.72	$964.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.00 / $209.72 / $964.50	Professional		$120.00	$209.72	$964.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $160.77 / $312.00 / $751.50	Facility		$160.77	$312.00	$751.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.72 / $63.30 / $200.06	Professional		$59.72	$63.30	$200.06
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $91.80 / $108.45 / $423.00	Facility		$91.80	$108.45	$423.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $46.04 / $65.77 / $187.00	Professional		$46.04	$65.77	$187.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $110.18 / $259.35 / $502.13	Facility		$110.18	$259.35	$502.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.90 / $128.96 / $406.37	Professional		$79.90	$128.96	$406.37
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $165.00 / $202.50	Professional		$150.00	$165.00	$202.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $135.00 / $172.50 / $330.00	Professional		$135.00	$172.50	$330.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $261.00 / $712.50 / $712.50	Facility		$261.00	$712.50	$712.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $750.00 / $750.00 / $1,125.00	Professional		$750.00	$750.00	$1,125.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $135.00 / $196.41 / $442.50	Facility		$135.00	$196.41	$442.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $99.45 / $176.54 / $308.30	Professional		$99.45	$176.54	$308.30
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $526.50 / $526.50 / $526.50	Professional		$526.50	$526.50	$526.50
United Facility/Professional Professional Modifier Low / Median / High Price $63.00 / $68.25 / $411.08	Professional		$63.00	$68.25	$411.08