Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.00 / $41.00 / $4,966.00	Facility		$38.00	$41.00	$4,966.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $42.00 / $4,022.72	Professional		$30.00	$42.00	$4,022.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,061.58 / $1,483.86 / $2,479.36	Professional		$1,061.58	$1,483.86	$2,479.36
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $1,191.06 / $1,791.71	Professional		$100.00	$1,191.06	$1,791.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,187.50 / $1,750.00 / $2,618.25	Professional		$1,187.50	$1,750.00	$2,618.25
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $330.36 / $583.35 / $1,367.64	Professional		$330.36	$583.35	$1,367.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $585.52 / $1,248.00 / $2,191.80	Professional		$585.52	$1,248.00	$2,191.80
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $82.00 / $82.00 / $82.00	Facility		$82.00	$82.00	$82.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,857.28 / $5,857.28 / $12,480.00	Professional		$5,857.28	$5,857.28	$12,480.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $460.75 / $1,750.00 / $2,000.00	Professional		$460.75	$1,750.00	$2,000.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,116.40 / $3,375.00 / $4,100.00	Facility		$2,116.40	$3,375.00	$4,100.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,250.00 / $1,750.00 / $2,276.82	Professional		$1,250.00	$1,750.00	$2,276.82
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,425.00 / $2,425.00 / $2,425.00	Professional		$2,425.00	$2,425.00	$2,425.00
United Facility/Professional Professional Modifier Low / Median / High Price $38.00 / $52.00 / $86.00	Professional		$38.00	$52.00	$86.00