Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.00 / $41.00 / $1,146.00	Facility		$38.00	$41.00	$1,146.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $42.00 / $928.32	Professional		$30.00	$42.00	$928.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $250.02 / $343.80 / $572.16	Professional		$250.02	$343.80	$572.16
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $274.86 / $413.47	Professional		$100.00	$274.86	$413.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $237.50 / $350.00 / $523.65	Professional		$237.50	$350.00	$523.65
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $77.34 / $136.56 / $320.16	Professional		$77.34	$136.56	$320.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $184.86 / $300.00 / $516.00	Professional		$184.86	$300.00	$516.00
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 $1,351.68 / $1,351.68 / $2,880.00	Professional		$1,351.68	$1,351.68	$2,880.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $92.15 / $350.00 / $400.00	Professional		$92.15	$350.00	$400.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $488.40 / $3,375.00 / $4,100.00	Facility		$488.40	$3,375.00	$4,100.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $250.00 / $360.00 / $499.50	Professional		$250.00	$360.00	$499.50
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $485.00 / $485.00 / $485.00	Professional		$485.00	$485.00	$485.00
United Facility/Professional Professional Modifier Low / Median / High Price $38.00 / $52.00 / $85.99	Professional		$38.00	$52.00	$85.99