Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $1,122.02 / $3,162.28	Facility		$38.02	$1,122.02	$3,162.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $50.12 / $2,238.72	Professional		$30.20	$50.12	$2,238.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $870.96 / $1,659.59	Professional		$630.96	$870.96	$1,659.59
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $812.83 / $1,288.25	Professional		$100.00	$812.83	$1,288.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,047.13 / $1,513.56	Professional		$691.83	$1,047.13	$1,513.56
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $363.08 / $851.14	Professional		$204.17	$363.08	$851.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $724.44 / $1,288.25	Professional		$354.81	$724.44	$1,288.25
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 $3,630.78 / $7,762.47 / $7,762.47	Professional		$3,630.78	$7,762.47	$7,762.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $275.42 / $275.42	Professional		$275.42	$275.42	$275.42
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 $660.69 / $1,000.00 / $1,412.54	Professional		$660.69	$1,000.00	$1,412.54
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $1,445.44	Professional		$1,445.44	$1,445.44	$1,445.44
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $25.12 / $467.74	Professional		$18.20	$25.12	$467.74
United Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $52.48 / $83.18	Professional		$38.02	$52.48	$83.18