Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.61 / $410.56 / $1,099.25	Facility		$204.61	$410.56	$1,099.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.61 / $248.39 / $1,454.81	Professional		$204.61	$248.39	$1,454.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $210.41 / $326.82 / $725.02	Facility		$210.41	$326.82	$725.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $204.61 / $205.28 / $451.23	Professional		$204.61	$205.28	$451.23
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $77.40 / $100.00 / $296.07	Facility		$77.40	$100.00	$296.07
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $208.47 / $208.47 / $298.13	Professional		$208.47	$208.47	$298.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $193.03 / $193.03 / $204.61	Facility		$193.03	$193.03	$204.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.61 / $204.61 / $235.37	Professional		$204.61	$204.61	$235.37
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $164.45 / $205.24 / $246.29	Professional		$164.45	$205.24	$246.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $184.15 / $235.30 / $463.69	Professional		$184.15	$235.30	$463.69
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $273.00 / $1,023.05 / $1,026.20	Facility		$273.00	$1,023.05	$1,026.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $193.03 / $204.61 / $290.66	Facility		$193.03	$204.61	$290.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $200.06 / $204.61 / $395.62	Professional		$200.06	$204.61	$395.62
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $355.56 / $355.56 / $355.56	Professional		$355.56	$355.56	$355.56
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $163.69 / $225.07 / $347.84	Professional		$163.69	$225.07	$347.84
United Facility/Professional Professional Modifier Low / Median / High Price $204.61 / $204.61 / $383.32	Professional		$204.61	$204.61	$383.32