Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $252.34 / $252.34 / $1,226.02	Facility		$252.34	$252.34	$1,226.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $183.95 / $252.34 / $1,226.02	Professional		$183.95	$252.34	$1,226.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $183.78 / $221.34 / $585.21	Facility		$183.78	$221.34	$585.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $161.43 / $252.34 / $533.20	Professional		$161.43	$252.34	$533.20
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $563.82 / $1,313.31	Professional		$100.00	$563.82	$1,313.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $241.39 / $373.38 / $373.38	Facility		$241.39	$373.38	$373.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $317.37 / $317.37 / $487.13	Professional		$317.37	$317.37	$487.13
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $339.95 / $424.94 / $509.93	Professional		$339.95	$424.94	$509.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $254.96 / $297.45 / $645.91	Professional		$254.96	$297.45	$645.91
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $852.90 / $2,240.76 / $2,240.76	Facility		$852.90	$2,240.76	$2,240.76
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,789.75 / $2,789.75 / $3,151.13	Professional		$2,789.75	$2,789.75	$3,151.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $135.32 / $382.45 / $446.19	Facility		$135.32	$382.45	$446.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $317.37 / $317.37 / $533.20	Professional		$317.37	$317.37	$533.20
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $802.03 / $802.03 / $802.03	Professional		$802.03	$802.03	$802.03
United Facility/Professional Professional Modifier Low / Median / High Price $197.30 / $210.10 / $420.14	Professional		$197.30	$210.10	$420.14