Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.00 / $41.00 / $2,101.00	Facility		$38.00	$41.00	$2,101.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $45.00 / $1,760.88	Professional		$30.00	$45.00	$1,760.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $445.83 / $630.29 / $1,048.96	Professional		$445.83	$630.29	$1,048.96
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $503.91 / $758.03	Professional		$100.00	$503.91	$758.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $475.00 / $700.00 / $1,047.30	Professional		$475.00	$700.00	$1,047.30
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $140.52 / $248.13 / $581.74	Professional		$140.52	$248.13	$581.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $301.01 / $528.00 / $924.00	Professional		$301.01	$528.00	$924.00
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 $2,478.08 / $2,478.08 / $5,280.00	Professional		$2,478.08	$2,478.08	$5,280.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $184.30 / $700.00 / $800.00	Professional		$184.30	$700.00	$800.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $895.40 / $3,375.00 / $4,100.00	Facility		$895.40	$3,375.00	$4,100.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $500.00 / $710.00 / $921.25	Professional		$500.00	$710.00	$921.25
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $970.00 / $970.00 / $970.00	Professional		$970.00	$970.00	$970.00
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $18.05 / $24.84 / $308.49	Professional		$18.05	$24.84	$308.49
United Facility/Professional Professional Modifier Low / Median / High Price $38.00 / $52.00 / $83.82	Professional		$38.00	$52.00	$83.82