Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $229.24 / $229.24 / $246.52	Facility		$229.24	$229.24	$246.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $180.21 / $236.58 / $632.70	Professional		$180.21	$236.58	$632.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $310.64 / $310.64 / $351.80	Facility		$310.64	$310.64	$351.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $217.11 / $302.42 / $512.16	Professional		$217.11	$302.42	$512.16
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $178.76 / $263.37 / $619.66	Professional		$178.76	$263.37	$619.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $264.67 / $264.67 / $264.67	Facility		$264.67	$264.67	$264.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.06 / $309.36 / $668.79	Professional		$234.06	$309.36	$668.79
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $193.96 / $252.27 / $340.56	Professional		$193.96	$252.27	$340.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $211.72 / $284.30 / $613.00	Professional		$211.72	$284.30	$613.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $505.09 / $1,035.45 / $1,117.39	Facility		$505.09	$1,035.45	$1,117.39
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,055.80 / $2,055.80 / $2,055.80	Professional		$2,055.80	$2,055.80	$2,055.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $332.31	Professional		$32.34	$32.34	$332.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $208.00 / $278.08 / $403.02	Facility		$208.00	$278.08	$403.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $241.65 / $346.14 / $624.19	Professional		$241.65	$346.14	$624.19
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $619.66 / $619.66 / $619.66	Professional		$619.66	$619.66	$619.66
United Facility/Professional Professional Modifier Low / Median / High Price $182.00 / $255.11 / $554.35	Professional		$182.00	$255.11	$554.35