Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.94 / $154.66 / $811.89	Facility		$141.94	$154.66	$811.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.27 / $147.57 / $203.59	Professional		$128.27	$147.57	$203.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $150.16 / $293.00 / $876.00	Facility		$150.16	$293.00	$876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $148.25 / $194.87 / $374.67	Professional		$148.25	$194.87	$374.67
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $58.90 / $100.00 / $388.87	Facility		$58.90	$100.00	$388.87
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $111.63 / $160.51 / $314.51	Professional		$111.63	$160.51	$314.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $157.91 / $325.41 / $1,180.43	Facility		$157.91	$325.41	$1,180.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $150.30 / $192.02 / $393.42	Professional		$150.30	$192.02	$393.42
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $150.46 / $165.51 / $203.12	Professional		$150.46	$165.51	$203.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $122.09 / $149.22 / $308.66	Professional		$122.09	$149.22	$308.66
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $318.85 / $617.62 / $666.43	Facility		$318.85	$617.62	$666.43
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $871.74 / $871.74 / $1,108.05	Professional		$871.74	$871.74	$1,108.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $198.32	Professional		$32.34	$32.34	$198.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $130.15 / $165.42 / $235.92	Facility		$130.15	$165.42	$235.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $153.76 / $206.71 / $369.28	Professional		$153.76	$206.71	$369.28
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $457.76 / $457.76 / $457.76	Professional		$457.76	$457.76	$457.76
United Facility/Professional Professional Modifier Low / Median / High Price $114.11 / $155.06 / $340.90	Professional		$114.11	$155.06	$340.90