Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $125.89 / $1,445.44	Facility		$107.15	$125.89	$1,445.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $269.15 / $933.25	Professional		$123.03	$269.15	$933.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $181.97 / $549.54	Facility		$144.54	$181.97	$549.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $316.23 / $3,548.13	Professional		$66.07	$316.23	$3,548.13
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $575.44 / $776.25	Facility		$100.00	$575.44	$776.25
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $251.19 / $707.95	Professional		$173.78	$251.19	$707.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Professional		$151.36	$151.36	$151.36
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $338.84 / $371.54	Professional		$338.84	$338.84	$371.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $338.84 / $741.31	Professional		$309.03	$338.84	$741.31
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $1,584.89 / $1,584.89	Facility		$1,584.89	$1,584.89	$1,584.89
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 $128.82 / $204.17 / $338.84	Facility		$128.82	$204.17	$338.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $151.36 / $338.84	Professional		$131.83	$151.36	$338.84
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $630.96 / $630.96	Professional		$630.96	$630.96	$630.96
United Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $323.59 / $954.99	Professional		$194.98	$323.59	$954.99