Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.25 / $83.25 / $744.11	Facility		$83.25	$83.25	$744.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.25 / $96.81 / $744.11	Professional		$83.25	$96.81	$744.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $112.29 / $335.27 / $818.65	Facility		$112.29	$335.27	$818.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $84.91 / $113.22 / $257.89	Professional		$84.91	$113.22	$257.89
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $305.32 / $562.86	Facility		$97.00	$305.32	$562.86
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $117.68 / $168.11 / $254.06	Professional		$117.68	$168.11	$254.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $119.00 / $119.00 / $119.00	Professional		$119.00	$119.00	$119.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $257.89 / $257.89 / $283.69	Professional		$257.89	$257.89	$283.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $232.11 / $285.00 / $593.16	Professional		$232.11	$285.00	$593.16
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $433.27 / $1,206.97 / $1,225.03	Facility		$433.27	$1,206.97	$1,225.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $112.21 / $152.28 / $262.32	Facility		$112.21	$152.28	$262.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $102.44 / $257.89 / $257.89	Professional		$102.44	$257.89	$257.89
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $486.77 / $486.77 / $486.77	Professional		$486.77	$486.77	$486.77
United Facility/Professional Professional Modifier Low / Median / High Price $151.12 / $222.04 / $587.66	Professional		$151.12	$222.04	$587.66