Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $302.06 / $2,285.59	Facility		$200.00	$302.06	$2,285.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $200.00 / $200.00 / $1,639.97	Professional		$200.00	$200.00	$1,639.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $237.55 / $510.43 / $1,257.40	Facility		$237.55	$510.43	$1,257.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.02 / $212.00 / $521.85	Professional		$102.02	$212.00	$521.85
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $92.60 / $184.40 / $719.24	Facility		$92.60	$184.40	$719.24
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $118.42 / $169.17 / $425.28	Professional		$118.42	$169.17	$425.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $187.33 / $440.97 / $853.77	Facility		$187.33	$440.97	$853.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $136.51 / $208.24 / $699.11	Professional		$136.51	$208.24	$699.11
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $255.05 / $280.56 / $344.32	Professional		$255.05	$280.56	$344.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $229.55 / $293.31 / $556.01	Professional		$229.55	$293.31	$556.01
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $443.79 / $1,211.49 / $1,211.49	Facility		$443.79	$1,211.49	$1,211.49
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,275.25 / $1,275.25 / $1,912.88	Professional		$1,275.25	$1,275.25	$1,912.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $178.53 / $178.53 / $178.53	Professional		$178.53	$178.53	$178.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $203.21 / $306.06 / $732.91	Facility		$203.21	$306.06	$732.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $150.03 / $280.56 / $510.10	Professional		$150.03	$280.56	$510.10
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $895.22 / $895.22 / $895.22	Professional		$895.22	$895.22	$895.22
United Facility/Professional Professional Modifier Low / Median / High Price $88.66 / $109.31 / $489.95	Professional		$88.66	$109.31	$489.95