Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $149.66 / $149.66 / $1,337.58	Facility		$149.66	$149.66	$1,337.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $149.66 / $174.03 / $1,337.58	Professional		$149.66	$174.03	$1,337.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $201.87 / $602.67 / $1,471.61	Facility		$201.87	$602.67	$1,471.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $203.55 / $226.16 / $463.60	Professional		$203.55	$226.16	$463.60
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $548.86 / $1,011.82	Facility		$97.00	$548.86	$1,011.82
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $211.55 / $302.20 / $456.73	Professional		$211.55	$302.20	$456.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.25 / $208.25 / $208.25	Professional		$208.25	$208.25	$208.25
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $463.60 / $463.60 / $509.96	Professional		$463.60	$463.60	$509.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $393.93 / $463.60 / $1,066.28	Professional		$393.93	$463.60	$1,066.28
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $778.85 / $2,169.65 / $2,202.10	Facility		$778.85	$2,169.65	$2,202.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $174.03 / $249.26 / $463.60	Facility		$174.03	$249.26	$463.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $184.14 / $463.60 / $463.60	Professional		$184.14	$463.60	$463.60
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $875.01 / $875.01 / $875.01	Professional		$875.01	$875.01	$875.01
United Facility/Professional Professional Modifier Low / Median / High Price $271.64 / $435.77 / $1,168.98	Professional		$271.64	$435.77	$1,168.98