Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.00 / $41.00 / $1,528.00	Facility		$38.00	$41.00	$1,528.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $45.00 / $1,280.64	Professional		$30.00	$45.00	$1,280.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $327.12 / $458.40 / $762.88	Professional		$327.12	$458.40	$762.88
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $366.48 / $551.29	Professional		$100.00	$366.48	$551.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $332.50 / $490.00 / $733.11	Professional		$332.50	$490.00	$733.11
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $102.55 / $181.09 / $424.56	Professional		$102.55	$181.09	$424.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $246.48 / $392.00 / $674.40	Professional		$246.48	$392.00	$674.40
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 $1,802.24 / $1,802.24 / $3,840.00	Professional		$1,802.24	$1,802.24	$3,840.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $129.01 / $490.00 / $560.00	Professional		$129.01	$490.00	$560.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $651.20 / $3,375.00 / $4,100.00	Facility		$651.20	$3,375.00	$4,100.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $350.00 / $497.00 / $670.00	Professional		$350.00	$497.00	$670.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $679.00 / $679.00 / $679.00	Professional		$679.00	$679.00	$679.00
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $18.05 / $24.84 / $215.91	Professional		$18.05	$24.84	$215.91
United Facility/Professional Professional Modifier Low / Median / High Price $38.00 / $50.00 / $83.50	Professional		$38.00	$50.00	$83.50