Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $61.66 / $645.65	Facility		$61.66	$61.66	$645.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $104.71 / $562.34	Professional		$61.66	$104.71	$562.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $67.61 / $169.82	Facility		$53.70	$67.61	$169.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $95.50 / $165.96	Professional		$53.70	$95.50	$165.96
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $151.36 / $338.84	Professional		$107.15	$151.36	$338.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Professional		$60.26	$60.26	$60.26
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $165.96 / $204.17	Professional		$151.36	$165.96	$204.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $151.36 / $263.03	Professional		$87.10	$151.36	$263.03
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $707.95 / $707.95	Facility		$707.95	$707.95	$707.95
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,348.96	Professional		$1,096.48	$1,096.48	$1,348.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $151.36 / $281.84	Facility		$97.72	$151.36	$281.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $61.66 / $144.54	Professional		$61.66	$61.66	$144.54
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $275.42 / $275.42	Professional		$275.42	$275.42	$275.42
United Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $63.10 / $147.91	Professional		$56.23	$63.10	$147.91