Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $616.60 / $1,000.00	Facility		$208.93	$616.60	$1,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $123.03 / $173.78	Professional		$97.72	$123.03	$173.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $380.19 / $380.19	Facility		$380.19	$380.19	$380.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $112.20 / $269.15	Professional		$77.62	$112.20	$269.15
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $338.84 / $426.58	Facility		$109.65	$338.84	$426.58
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $117.49 / $295.12	Professional		$87.10	$117.49	$295.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $251.19 / $537.03	Facility		$102.33	$251.19	$537.03
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 $134.90 / $165.96 / $263.03	Professional		$134.90	$165.96	$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 $758.58 / $1,122.02 / $1,122.02	Professional		$758.58	$1,122.02	$1,122.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $181.97 / $436.52	Facility		$117.49	$181.97	$436.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $165.96 / $213.80	Professional		$151.36	$165.96	$213.80
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Professional		$151.36	$151.36	$151.36
United Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $63.10 / $288.40	Professional		$63.10	$63.10	$288.40