Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $630.96 / $1,778.28	Facility		$38.02	$630.96	$1,778.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $50.12 / $1,258.93	Professional		$30.20	$50.12	$1,258.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $501.19 / $933.25	Professional		$363.08	$501.19	$933.25
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $457.09 / $724.44	Professional		$100.00	$457.09	$724.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $562.34 / $794.33	Professional		$371.54	$562.34	$794.33
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $204.17 / $478.63	Professional		$114.82	$204.17	$478.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $407.38 / $724.44	Professional		$199.53	$407.38	$724.44
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 $2,041.74 / $4,365.16 / $4,365.16	Professional		$2,041.74	$4,365.16	$4,365.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $147.91	Professional		$147.91	$147.91	$147.91
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 $354.81 / $537.03 / $758.58	Professional		$354.81	$537.03	$758.58
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $776.25 / $776.25	Professional		$776.25	$776.25	$776.25
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $25.12 / $245.47	Professional		$18.20	$25.12	$245.47
United Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $52.48 / $83.18	Professional		$38.02	$52.48	$83.18