Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $245.47 / $245.47	Facility		$245.47	$245.47	$245.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $245.47 / $794.33	Professional		$181.97	$245.47	$794.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $331.13 / $1,584.89	Facility		$269.15	$331.13	$1,584.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $288.40 / $512.86	Professional		$199.53	$288.40	$512.86
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $331.13 / $660.69	Professional		$229.09	$331.13	$660.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $354.81 / $354.81	Facility		$354.81	$354.81	$354.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $309.03 / $588.84	Professional		$229.09	$309.03	$588.84
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $223.87 / $295.12	Professional		$194.98	$223.87	$295.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $223.87 / $616.60	Professional		$186.21	$223.87	$616.60
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $1,445.44	Facility		$1,445.44	$1,445.44	$1,445.44
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,041.74 / $2,041.74	Professional		$2,041.74	$2,041.74	$2,041.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $331.13 / $331.13	Professional		$331.13	$331.13	$331.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $275.42 / $467.74	Facility		$199.53	$275.42	$467.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $316.23 / $588.84	Professional		$229.09	$316.23	$588.84
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $616.60 / $616.60	Professional		$616.60	$616.60	$616.60
United Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $257.04 / $478.63	Professional		$181.97	$257.04	$478.63