Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $467.74 / $776.25	Facility		$158.49	$467.74	$776.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $93.33 / $125.89	Professional		$74.13	$93.33	$125.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $281.84 / $575.44	Facility		$147.91	$281.84	$575.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $67.61 / $208.93	Professional		$45.71	$67.61	$208.93
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $295.12 / $1,122.02	Facility		$61.66	$295.12	$1,122.02
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $89.13 / $229.09	Professional		$67.61	$89.13	$229.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $190.55 / $407.38	Facility		$77.62	$190.55	$407.38
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $138.04 / $154.88	Professional		$114.82	$138.04	$154.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $125.89 / $199.53	Professional		$102.33	$125.89	$199.53
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $549.54 / $549.54	Facility		$549.54	$549.54	$549.54
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $851.14 / $851.14	Professional		$575.44	$851.14	$851.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $138.04 / $338.84	Facility		$91.20	$138.04	$338.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $114.82 / $158.49	Professional		$114.82	$114.82	$158.49
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $114.82 / $114.82	Professional		$114.82	$114.82	$114.82
United Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $114.82 / $114.82	Facility		$47.86	$114.82	$114.82
United Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $47.86 / $218.78	Professional		$47.86	$47.86	$218.78