Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $239.88 / $1,737.80	Facility		$239.88	$239.88	$1,737.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $251.19 / $1,548.82	Professional		$173.78	$251.19	$1,548.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $234.42 / $588.84	Facility		$186.21	$234.42	$588.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $269.15 / $562.34	Professional		$173.78	$269.15	$562.34
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $758.58 / $1,288.25	Professional		$389.05	$758.58	$1,288.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $251.19 / $251.19	Facility		$199.53	$251.19	$251.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $251.19	Professional		$194.98	$194.98	$251.19
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $457.09 / $562.34	Professional		$331.13	$457.09	$562.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $371.54 / $660.69	Professional		$251.19	$371.54	$660.69
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,137.96 / $2,137.96	Facility		$2,137.96	$2,137.96	$2,137.96
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $3,019.95 / $3,019.95	Professional		$2,630.27	$3,019.95	$3,019.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $407.38 / $549.54	Facility		$131.83	$407.38	$549.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $199.53 / $398.11	Professional		$199.53	$199.53	$398.11
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $758.58 / $758.58	Professional		$758.58	$758.58	$758.58
United Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $269.15 / $302.00	Facility		$33.11	$269.15	$302.00
United Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $245.47 / $416.87	Professional		$190.55	$245.47	$416.87