Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.93 / $82.93 / $1,504.62	Facility		$82.93	$82.93	$1,504.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.93 / $82.93 / $1,504.62	Professional		$82.93	$82.93	$1,504.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $217.95 / $475.00 / $1,153.61	Facility		$217.95	$475.00	$1,153.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.44 / $68.18 / $304.20	Professional		$53.44	$68.18	$304.20
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $92.60 / $169.18 / $659.88	Facility		$92.60	$169.18	$659.88
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $36.25 / $51.78 / $147.22	Professional		$36.25	$51.78	$147.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $152.10 / $404.59 / $783.32	Facility		$152.10	$404.59	$783.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.68 / $201.20 / $633.42	Professional		$124.68	$201.20	$633.42
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $234.00 / $257.39 / $315.89	Professional		$234.00	$257.39	$315.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $210.60 / $269.10 / $510.12	Professional		$210.60	$269.10	$510.12
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $407.16 / $1,111.50 / $1,111.50	Facility		$407.16	$1,111.50	$1,111.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,170.00 / $1,170.00 / $1,755.00	Professional		$1,170.00	$1,170.00	$1,755.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $163.80 / $163.80 / $163.80	Professional		$163.80	$163.80	$163.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $147.57 / $280.80 / $672.43	Facility		$147.57	$280.80	$672.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $140.40 / $269.10 / $468.00	Professional		$140.40	$269.10	$468.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $821.34 / $821.34 / $821.34	Professional		$821.34	$821.34	$821.34
United Facility/Professional Professional Modifier Low / Median / High Price $98.28 / $98.28 / $464.91	Professional		$98.28	$98.28	$464.91