Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $562.34 / $1,584.89	Facility		$38.02	$562.34	$1,584.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $50.12 / $1,122.02	Professional		$30.20	$50.12	$1,122.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $436.52 / $831.76	Professional		$323.59	$436.52	$831.76
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $407.38 / $645.65	Professional		$100.00	$407.38	$645.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $489.78 / $707.95	Professional		$323.59	$489.78	$707.95
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $181.97 / $426.58	Professional		$102.33	$181.97	$426.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $371.54 / $645.65	Professional		$177.83	$371.54	$645.65
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 $1,819.70 / $3,801.89 / $3,801.89	Professional		$1,819.70	$3,801.89	$3,801.89
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 $309.03 / $478.63 / $660.69	Professional		$309.03	$478.63	$660.69
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $676.08 / $676.08	Professional		$676.08	$676.08	$676.08
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $25.12 / $213.80	Professional		$18.20	$25.12	$213.80
United Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $52.48 / $83.18	Professional		$38.02	$52.48	$83.18