Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.67 / $204.67 / $1,908.50	Facility		$204.67	$204.67	$1,908.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $152.96 / $204.67 / $1,199.54	Professional		$152.96	$204.67	$1,199.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $149.06 / $179.53 / $474.65	Facility		$149.06	$179.53	$474.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.52 / $204.67 / $432.47	Professional		$141.52	$204.67	$432.47
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $551.63 / $1,284.93	Professional		$100.00	$551.63	$1,284.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $195.69 / $302.83 / $302.83	Facility		$195.69	$302.83	$302.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.41 / $257.41 / $311.93	Professional		$257.41	$257.41	$311.93
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $332.60 / $415.75 / $498.90	Professional		$332.60	$415.75	$498.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $249.45 / $291.02 / $638.07	Professional		$249.45	$291.02	$638.07
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $762.61 / $1,974.81 / $1,974.81	Facility		$762.61	$1,974.81	$1,974.81
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,995.60 / $1,995.60 / $2,762.25	Professional		$1,995.60	$1,995.60	$2,762.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $109.76 / $350.87 / $415.75	Facility		$109.76	$350.87	$415.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $257.41 / $302.83 / $353.39	Professional		$257.41	$302.83	$353.39
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $784.71 / $784.71 / $784.71	Professional		$784.71	$784.71	$784.71
United Facility/Professional Facility Modifier Low / Median / High Price $28.08 / $224.66 / $261.98	Facility		$28.08	$224.66	$261.98
United Facility/Professional Professional Modifier Low / Median / High Price $161.78 / $183.74 / $420.77	Professional		$161.78	$183.74	$420.77