Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.78 / $61.78 / $425.18	Facility		$61.78	$61.78	$425.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.78 / $84.07 / $425.18	Professional		$61.78	$84.07	$425.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.84 / $61.72 / $104.43	Facility		$51.84	$61.72	$104.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.19 / $87.50 / $165.27	Professional		$53.19	$87.50	$165.27
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $165.16 / $345.41	Professional		$100.00	$165.16	$345.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.12 / $60.12 / $60.12	Professional		$60.12	$60.12	$60.12
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $147.37 / $162.11 / $198.95	Professional		$147.37	$162.11	$198.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $88.42 / $184.21 / $338.95	Professional		$88.42	$184.21	$338.95
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $247.58 / $689.69 / $700.01	Facility		$247.58	$689.69	$700.01
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,105.28 / $1,295.07 / $1,346.88	Professional		$1,105.28	$1,295.07	$1,346.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $141.40 / $147.37 / $307.58	Facility		$141.40	$147.37	$307.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.12 / $60.12 / $156.01	Professional		$60.12	$60.12	$156.01
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $278.14 / $278.14 / $278.14	Professional		$278.14	$278.14	$278.14
United Facility/Professional Professional Modifier Low / Median / High Price $59.89 / $66.84 / $191.72	Professional		$59.89	$66.84	$191.72