Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.00 / $41.00 / $1,910.00	Facility		$38.00	$41.00	$1,910.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $45.00 / $1,600.80	Professional		$30.00	$45.00	$1,600.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $405.30 / $573.00 / $953.60	Professional		$405.30	$573.00	$953.60
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $458.10 / $689.12	Professional		$100.00	$458.10	$689.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $427.50 / $630.00 / $942.57	Professional		$427.50	$630.00	$942.57
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $127.91 / $225.87 / $529.54	Professional		$127.91	$225.87	$529.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $283.26 / $480.00 / $840.00	Professional		$283.26	$480.00	$840.00
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 $2,252.80 / $2,252.80 / $4,800.00	Professional		$2,252.80	$2,252.80	$4,800.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $165.87 / $630.00 / $720.00	Professional		$165.87	$630.00	$720.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $814.00 / $3,375.00 / $4,100.00	Facility		$814.00	$3,375.00	$4,100.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $450.00 / $630.00 / $837.50	Professional		$450.00	$630.00	$837.50
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $873.00 / $873.00 / $873.00	Professional		$873.00	$873.00	$873.00
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $18.05 / $24.84 / $277.75	Professional		$18.05	$24.84	$277.75
United Facility/Professional Professional Modifier Low / Median / High Price $38.00 / $52.00 / $85.00	Professional		$38.00	$52.00	$85.00