Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.91 / $158.91 / $486.60	Facility		$158.91	$158.91	$486.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.91 / $158.91 / $486.60	Professional		$158.91	$158.91	$486.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $143.03 / $176.40 / $228.84	Facility		$143.03	$176.40	$228.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $158.91 / $158.91 / $297.18	Professional		$158.91	$158.91	$297.18
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $77.09 / $100.00 / $179.91	Facility		$77.09	$100.00	$179.91
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $161.91 / $161.91 / $231.55	Professional		$161.91	$161.91	$231.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $149.91 / $149.91 / $158.91	Facility		$149.91	$149.91	$158.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.91 / $158.91 / $179.91	Professional		$158.91	$158.91	$179.91
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $118.59 / $148.24 / $163.06	Professional		$118.59	$148.24	$163.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $143.03 / $182.76 / $360.14	Professional		$143.03	$182.76	$360.14
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $197.88 / $654.50 / $654.50	Facility		$197.88	$654.50	$654.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $149.91 / $158.91 / $220.32	Facility		$149.91	$158.91	$220.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $155.50 / $158.91 / $158.91	Professional		$155.50	$158.91	$158.91
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $318.32 / $318.32 / $318.32	Professional		$318.32	$318.32	$318.32
United Facility/Professional Professional Modifier Low / Median / High Price $158.91 / $158.91 / $302.85	Professional		$158.91	$158.91	$302.85