Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.31 / $185.36 / $1,022.68	Facility		$65.31	$185.36	$1,022.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.16 / $185.36 / $1,022.68	Professional		$158.16	$185.36	$1,022.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $135.00 / $162.59 / $429.88	Facility		$135.00	$162.59	$429.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.42 / $186.75 / $381.53	Professional		$186.42	$186.75	$381.53
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $470.29 / $1,095.48	Professional		$100.00	$470.29	$1,095.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.41 / $274.27 / $274.27	Facility		$177.41	$274.27	$274.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $233.13 / $233.13 / $282.50	Professional		$233.13	$233.13	$282.50
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $283.56 / $354.45 / $425.34	Professional		$283.56	$354.45	$425.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $212.67 / $248.12 / $549.40	Professional		$212.67	$248.12	$549.40
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $832.81 / $1,683.64 / $1,683.64	Facility		$832.81	$1,683.64	$1,683.64
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,930.99 / $1,930.99 / $3,017.18	Professional		$1,930.99	$1,930.99	$3,017.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $99.40 / $313.36 / $361.27	Facility		$99.40	$313.36	$361.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $233.13 / $274.27 / $343.86	Professional		$233.13	$274.27	$343.86
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $669.01 / $669.01 / $669.01	Professional		$669.01	$669.01	$669.01
United Facility/Professional Professional Modifier Low / Median / High Price $144.93 / $171.31 / $342.97	Professional		$144.93	$171.31	$342.97