Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $242.86 / $242.86 / $1,166.68	Facility		$242.86	$242.86	$1,166.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.04 / $242.86 / $1,166.68	Professional		$177.04	$242.86	$1,166.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $176.89 / $213.04 / $563.25	Facility		$176.89	$213.04	$563.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $155.37 / $270.12 / $513.17	Professional		$155.37	$270.12	$513.17
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $536.52 / $1,249.76	Professional		$100.00	$536.52	$1,249.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $232.25 / $252.68 / $252.68	Facility		$232.25	$252.68	$252.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.10 / $194.10 / $260.26	Professional		$194.10	$194.10	$260.26
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $323.50 / $404.37 / $485.24	Professional		$323.50	$404.37	$485.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $242.62 / $283.06 / $626.77	Professional		$242.62	$283.06	$626.77
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,094.49 / $2,126.28 / $2,126.28	Facility		$1,094.49	$2,126.28	$2,126.28
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,647.22 / $2,647.22 / $3,032.78	Professional		$2,647.22	$2,647.22	$3,032.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $130.22 / $364.76 / $409.83	Facility		$130.22	$364.76	$409.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $194.10 / $194.10 / $384.88	Professional		$194.10	$194.10	$384.88
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $763.21 / $763.21 / $763.21	Professional		$763.21	$763.21	$763.21
United Facility/Professional Professional Modifier Low / Median / High Price $189.89 / $201.73 / $426.29	Professional		$189.89	$201.73	$426.29