Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.12 / $323.60 / $710.33	Facility		$71.12	$323.60	$710.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.39 / $71.12 / $1,234.56	Professional		$54.39	$71.12	$1,234.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.17 / $42.54 / $876.00	Facility		$33.17	$42.54	$876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.47 / $76.98 / $265.23	Professional		$33.47	$76.98	$265.23
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.40 / $114.63 / $750.52	Facility		$59.40	$114.63	$750.52
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $38.07 / $54.39 / $154.65	Professional		$38.07	$54.39	$154.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.55 / $290.27 / $628.37	Facility		$123.55	$290.27	$628.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.11 / $111.68 / $363.80	Professional		$45.11	$111.68	$363.80
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $192.00 / $211.20 / $259.20	Professional		$192.00	$211.20	$259.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $172.80 / $220.80 / $418.56	Professional		$172.80	$220.80	$418.56
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $334.08 / $912.00 / $912.00	Facility		$334.08	$912.00	$912.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $960.00 / $960.00 / $1,440.00	Professional		$960.00	$960.00	$1,440.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $99.31 / $230.40 / $546.62	Facility		$99.31	$230.40	$546.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $45.74 / $204.39 / $363.80	Professional		$45.74	$204.39	$363.80
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $673.92 / $673.92 / $673.92	Professional		$673.92	$673.92	$673.92
United Facility/Professional Professional Modifier Low / Median / High Price $35.14 / $80.64 / $494.02	Professional		$35.14	$80.64	$494.02