Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $200.83 / $234.08 / $666.55	Facility		$200.83	$234.08	$666.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.61 / $200.83 / $666.55	Professional		$138.61	$200.83	$666.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $81.26 / $96.75 / $163.69	Facility		$81.26	$96.75	$163.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.38 / $135.66 / $259.08	Professional		$83.38	$135.66	$259.08
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $258.92 / $541.46	Professional		$100.00	$258.92	$541.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.26 / $94.26 / $94.26	Professional		$94.26	$94.26	$94.26
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $231.02 / $254.12 / $311.88	Professional		$231.02	$254.12	$311.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $138.00 / $288.77 / $531.35	Professional		$138.00	$288.77	$531.35
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $388.11 / $1,081.17 / $1,097.34	Facility		$388.11	$1,081.17	$1,097.34
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,540.67 / $1,602.29 / $1,732.65	Professional		$1,540.67	$1,602.29	$1,732.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $219.89 / $231.02 / $411.45	Facility		$219.89	$231.02	$411.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $94.26 / $94.26 / $244.56	Professional		$94.26	$94.26	$244.56
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $436.04 / $436.04 / $436.04	Professional		$436.04	$436.04	$436.04
United Facility/Professional Professional Modifier Low / Median / High Price $93.88 / $100.05 / $283.95	Professional		$93.88	$100.05	$283.95