Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $630.96 / $2,570.40	Facility		$38.02	$630.96	$2,570.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $50.12 / $1,288.25	Professional		$30.20	$50.12	$1,288.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $501.19 / $933.25	Professional		$371.54	$501.19	$933.25
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $457.09 / $724.44	Professional		$100.00	$457.09	$724.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $562.34 / $794.33	Professional		$371.54	$562.34	$794.33
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $204.17 / $478.63	Professional		$114.82	$204.17	$478.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $407.38 / $724.44	Professional		$177.83	$407.38	$724.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $104.71 / $104.71	Facility		$104.71	$104.71	$104.71
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $4,365.16 / $4,365.16	Professional		$2,041.74	$4,365.16	$4,365.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Professional		$128.82	$128.82	$128.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $3,630.78 / $5,623.41	Facility		$87.10	$3,630.78	$5,623.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $537.03 / $758.58	Professional		$354.81	$537.03	$758.58
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $676.08 / $676.08	Professional		$676.08	$676.08	$676.08
United Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $52.48 / $83.18	Professional		$38.02	$52.48	$83.18