Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.00 / $41.00 / $1,337.00	Facility		$38.00	$41.00	$1,337.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $42.00 / $1,083.04	Professional		$30.00	$42.00	$1,083.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $291.69 / $401.10 / $667.52	Professional		$291.69	$401.10	$667.52
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $320.67 / $482.38	Professional		$100.00	$320.67	$482.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $285.00 / $420.00 / $628.38	Professional		$285.00	$420.00	$628.38
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $89.94 / $158.82 / $372.36	Professional		$89.94	$158.82	$372.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $215.67 / $350.00 / $590.10	Professional		$215.67	$350.00	$590.10
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 $1,576.96 / $1,576.96 / $3,360.00	Professional		$1,576.96	$1,576.96	$3,360.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $110.58 / $420.00 / $480.00	Professional		$110.58	$420.00	$480.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $569.79 / $3,375.00 / $4,100.00	Facility		$569.79	$3,375.00	$4,100.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $300.00 / $426.00 / $582.75	Professional		$300.00	$426.00	$582.75
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $582.00 / $582.00 / $582.00	Professional		$582.00	$582.00	$582.00
United Facility/Professional Professional Modifier Low / Median / High Price $38.00 / $52.00 / $86.00	Professional		$38.00	$52.00	$86.00