Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.58 / $107.58 / $961.47	Facility		$107.58	$107.58	$961.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.58 / $125.10 / $961.47	Professional		$107.58	$125.10	$961.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $145.11 / $433.21 / $1,057.80	Facility		$145.11	$433.21	$1,057.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $105.04 / $146.31 / $333.24	Professional		$105.04	$146.31	$333.24
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $394.53 / $727.32	Facility		$97.00	$394.53	$727.32
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $152.07 / $217.24 / $328.31	Professional		$152.07	$217.24	$328.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $153.00 / $153.00 / $153.00	Professional		$153.00	$153.00	$153.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $333.24 / $333.24 / $366.56	Professional		$333.24	$333.24	$366.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $299.92 / $392.00 / $766.45	Professional		$299.92	$392.00	$766.45
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $559.84 / $1,559.56 / $1,582.89	Facility		$559.84	$1,559.56	$1,582.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $125.87 / $196.77 / $333.24	Facility		$125.87	$196.77	$333.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $132.37 / $333.24 / $333.24	Professional		$132.37	$333.24	$333.24
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $628.97 / $628.97 / $628.97	Professional		$628.97	$628.97	$628.97
United Facility/Professional Professional Modifier Low / Median / High Price $195.26 / $325.97 / $897.74	Professional		$195.26	$325.97	$897.74