Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $256.14 / $872.70 / $1,962.11	Facility		$256.14	$872.70	$1,962.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $195.88 / $256.14 / $1,937.68	Professional		$195.88	$256.14	$1,937.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $262.63 / $601.19 / $1,485.66	Facility		$262.63	$601.19	$1,485.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.88 / $162.00 / $508.79	Professional		$151.88	$162.00	$508.79
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.40 / $397.78 / $2,703.11	Facility		$59.40	$397.78	$2,703.11
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $137.12 / $195.88 / $492.42	Professional		$137.12	$195.88	$492.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $204.85 / $505.37 / $1,008.78	Facility		$204.85	$505.37	$1,008.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $160.54 / $263.61 / $582.36	Professional		$160.54	$263.61	$582.36
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $301.35 / $331.49 / $406.82	Professional		$301.35	$331.49	$406.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $271.22 / $346.55 / $662.97	Professional		$271.22	$346.55	$662.97
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $524.35 / $1,431.41 / $1,431.41	Facility		$524.35	$1,431.41	$1,431.41
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,506.75 / $1,506.75 / $2,260.13	Professional		$1,506.75	$1,506.75	$2,260.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $241.08 / $361.62 / $799.58	Facility		$241.08	$361.62	$799.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $235.14 / $331.49 / $582.36	Professional		$235.14	$331.49	$582.36
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,057.73 / $1,057.73 / $1,057.73	Professional		$1,057.73	$1,057.73	$1,057.73
United Facility/Professional Professional Modifier Low / Median / High Price $126.57 / $131.68 / $596.66	Professional		$126.57	$131.68	$596.66