Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $436.52 / $724.44	Facility		$147.91	$436.52	$724.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $87.10 / $123.03	Professional		$69.18	$87.10	$123.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $537.03 / $549.54	Facility		$269.15	$537.03	$549.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $169.82 / $275.42	Professional		$134.90	$169.82	$275.42
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $239.88 / $302.00	Facility		$77.62	$239.88	$302.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $83.18 / $213.80	Professional		$63.10	$83.18	$213.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $138.04 / $346.74	Facility		$72.44	$138.04	$346.74
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $117.49 / $144.54	Professional		$107.15	$117.49	$144.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $117.49 / $186.21	Professional		$95.50	$117.49	$186.21
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $512.86 / $512.86	Facility		$512.86	$512.86	$512.86
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $794.33 / $794.33	Professional		$537.03	$794.33	$794.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $128.82 / $263.03	Facility		$81.28	$128.82	$263.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $117.49 / $154.88	Professional		$107.15	$117.49	$154.88
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $107.15 / $107.15	Professional		$107.15	$107.15	$107.15
United Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $107.15 / $107.15	Facility		$44.67	$107.15	$107.15
United Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $204.17	Professional		$44.67	$44.67	$204.17