Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.00 / $41.00 / $1,719.00	Facility		$38.00	$41.00	$1,719.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $45.00 / $1,440.72	Professional		$30.00	$45.00	$1,440.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $364.77 / $515.70 / $858.24	Professional		$364.77	$515.70	$858.24
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $412.29 / $620.21	Professional		$100.00	$412.29	$620.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $380.00 / $560.00 / $837.84	Professional		$380.00	$560.00	$837.84
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $115.16 / $203.35 / $476.76	Professional		$115.16	$203.35	$476.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $273.64 / $432.00 / $758.70	Professional		$273.64	$432.00	$758.70
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $405.00 / $405.00 / $405.00	Facility		$405.00	$405.00	$405.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,027.52 / $2,027.52 / $4,320.00	Professional		$2,027.52	$2,027.52	$4,320.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $147.44 / $560.00 / $640.00	Professional		$147.44	$560.00	$640.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $732.60 / $3,375.00 / $4,100.00	Facility		$732.60	$3,375.00	$4,100.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $400.00 / $562.50 / $753.75	Professional		$400.00	$562.50	$753.75
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $776.00 / $776.00 / $776.00	Professional		$776.00	$776.00	$776.00
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $18.05 / $24.84 / $246.66	Professional		$18.05	$24.84	$246.66
United Facility/Professional Professional Modifier Low / Median / High Price $38.00 / $52.00 / $86.00	Professional		$38.00	$52.00	$86.00