Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $724.44 / $1,174.90	Facility		$245.47	$724.44	$1,174.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $144.54 / $199.53	Professional		$112.20	$144.54	$199.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $436.52 / $891.25	Facility		$229.09	$436.52	$891.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $537.03 / $812.83	Professional		$181.97	$537.03	$812.83
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $407.38 / $1,698.24	Facility		$69.18	$407.38	$1,698.24
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $134.90 / $346.74	Professional		$102.33	$134.90	$346.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $229.09 / $562.34	Facility		$117.49	$229.09	$562.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $120.23 / $120.23	Professional		$120.23	$120.23	$120.23
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $208.93 / $234.42	Professional		$173.78	$208.93	$234.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $190.55 / $309.03	Professional		$158.49	$190.55	$309.03
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $831.76 / $831.76	Facility		$831.76	$831.76	$831.76
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,318.26 / $1,318.26	Professional		$870.96	$1,318.26	$1,318.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $208.93 / $436.52	Facility		$141.25	$208.93	$436.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $190.55 / $251.19	Professional		$173.78	$190.55	$251.19
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $173.78	Professional		$173.78	$173.78	$173.78
United Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $173.78 / $173.78	Facility		$74.13	$173.78	$173.78
United Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $338.84	Professional		$74.13	$74.13	$338.84