Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $549.54 / $891.25	Facility		$186.21	$549.54	$891.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $109.65 / $154.88	Professional		$87.10	$109.65	$154.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $676.08 / $676.08	Facility		$338.84	$676.08	$676.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $831.76 / $1,318.26	Professional		$245.47	$831.76	$1,318.26
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $302.00 / $380.19	Facility		$97.72	$302.00	$380.19
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $102.33 / $263.03	Professional		$77.62	$102.33	$263.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $173.78 / $436.52	Facility		$89.13	$173.78	$436.52
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $162.18 / $181.97	Professional		$134.90	$162.18	$181.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $147.91 / $234.42	Professional		$120.23	$147.91	$234.42
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $630.96 / $630.96	Facility		$630.96	$630.96	$630.96
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,000.00 / $1,000.00	Professional		$676.08	$1,000.00	$1,000.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $162.18 / $331.13	Facility		$107.15	$162.18	$331.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $147.91 / $194.98	Professional		$134.90	$147.91	$194.98
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $134.90 / $134.90	Professional		$134.90	$134.90	$134.90
United Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $134.90 / $134.90	Facility		$56.23	$134.90	$134.90
United Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $56.23 / $257.04	Professional		$56.23	$56.23	$257.04