Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $159.31 / $159.31 / $532.98	Facility		$159.31	$159.31	$532.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.81 / $159.31 / $487.17	Professional		$27.81	$159.31	$487.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $48.63 / $58.79 / $154.84	Facility		$48.63	$58.79	$154.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.15 / $62.14 / $389.25	Professional		$35.15	$62.14	$389.25
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $267.74 / $837.20	Facility		$97.00	$267.74	$837.20
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $27.73 / $45.16 / $95.54	Professional		$27.73	$45.16	$95.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.86 / $306.39 / $883.91	Professional		$22.86	$306.39	$883.91
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $22.95 / $30.98 / $543.08	Professional		$22.95	$30.98	$543.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $20.90 / $248.95 / $663.83	Professional		$20.90	$248.95	$663.83
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $95.38 / $102.13 / $102.13	Facility		$95.38	$102.13	$102.13
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $137.34 / $860.25 / $2,821.80	Professional		$137.34	$860.25	$2,821.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $21.61 / $159.31 / $547.69	Facility		$21.61	$159.31	$547.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.96 / $313.95 / $884.07	Professional		$21.96	$313.95	$884.07
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $71.63 / $71.63 / $1,135.54	Professional		$71.63	$71.63	$1,135.54
United Facility/Professional Professional Modifier Low / Median / High Price $145.91 / $316.02 / $613.73	Professional		$145.91	$316.02	$613.73