Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.27 / $78.05 / $767.18	Facility		$71.27	$78.05	$767.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.14 / $83.14 / $527.13	Professional		$74.14	$83.14	$527.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $83.46 / $99.38 / $168.14	Facility		$83.46	$99.38	$168.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.18 / $114.18 / $247.29	Professional		$114.18	$114.18	$247.29
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $98.20 / $335.64 / $562.13	Facility		$98.20	$335.64	$562.13
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $447.45 / $856.01	Professional		$100.00	$447.45	$856.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $135.78 / $135.78 / $135.78	Professional		$135.78	$135.78	$135.78
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $265.89 / $292.49 / $358.97	Professional		$265.89	$292.49	$358.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $145.00 / $332.38 / $611.57	Professional		$145.00	$332.38	$611.57
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $415.47 / $1,249.08 / $1,263.03	Facility		$415.47	$1,249.08	$1,263.03
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,324.18 / $1,324.18 / $1,994.25	Professional		$1,324.18	$1,324.18	$1,994.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $545.09 / $545.09 / $545.09	Professional		$545.09	$545.09	$545.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $190.30 / $265.89 / $360.89	Facility		$190.30	$265.89	$360.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $135.78 / $135.78 / $281.48	Professional		$135.78	$135.78	$281.48
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $501.87 / $501.87 / $501.87	Professional		$501.87	$501.87	$501.87
United Facility/Professional Professional Modifier Low / Median / High Price $104.25 / $119.89 / $345.94	Professional		$104.25	$119.89	$345.94