Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $776.25 / $2,187.76	Facility		$38.02	$776.25	$2,187.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $50.12 / $1,548.82	Professional		$30.20	$50.12	$1,548.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $602.56 / $1,122.02	Professional		$426.58	$602.56	$1,122.02
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $549.54 / $891.25	Professional		$100.00	$549.54	$891.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $707.95 / $1,000.00	Professional		$457.09	$707.95	$1,000.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $245.47 / $575.44	Professional		$141.25	$245.47	$575.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $489.78 / $870.96	Professional		$245.47	$489.78	$870.96
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 $2,454.71 / $5,248.07 / $5,248.07	Professional		$2,454.71	$5,248.07	$5,248.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $186.21 / $186.21	Professional		$186.21	$186.21	$186.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $3,801.89 / $5,623.41	Facility		$87.10	$3,801.89	$5,623.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $660.69 / $954.99	Professional		$436.52	$660.69	$954.99
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $977.24 / $977.24	Professional		$977.24	$977.24	$977.24
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $25.12 / $309.03	Professional		$18.20	$25.12	$309.03
United Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $52.48 / $83.18	Professional		$38.02	$52.48	$83.18