Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $130.97 / $130.97 / $1,170.59	Facility		$130.97	$130.97	$1,170.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.97 / $152.30 / $1,170.59	Professional		$130.97	$152.30	$1,170.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $176.66 / $527.44 / $1,287.88	Facility		$176.66	$527.44	$1,287.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $133.59 / $178.13 / $405.72	Professional		$133.59	$178.13	$405.72
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $480.33 / $885.48	Facility		$97.00	$480.33	$885.48
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $185.13 / $264.47 / $399.69	Professional		$185.13	$264.47	$399.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.00 / $170.00 / $170.00	Professional		$170.00	$170.00	$170.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $405.72 / $405.72 / $446.29	Professional		$405.72	$405.72	$446.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $365.15 / $405.72 / $933.16	Professional		$365.15	$405.72	$933.16
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $681.61 / $1,898.77 / $1,927.17	Facility		$681.61	$1,898.77	$1,927.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $152.30 / $220.75 / $405.72	Facility		$152.30	$220.75	$405.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $161.15 / $405.72 / $405.72	Professional		$161.15	$405.72	$405.72
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $765.78 / $765.78 / $765.78	Professional		$765.78	$765.78	$765.78
United Facility/Professional Professional Modifier Low / Median / High Price $237.73 / $381.35 / $1,077.97	Professional		$237.73	$381.35	$1,077.97