Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.00 / $41.00 / $3,056.00	Facility		$38.00	$41.00	$3,056.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $45.00 / $2,561.28	Professional		$30.00	$45.00	$2,561.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $648.48 / $916.80 / $1,525.76	Professional		$648.48	$916.80	$1,525.76
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $732.96 / $1,102.58	Professional		$100.00	$732.96	$1,102.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $712.50 / $1,050.00 / $1,570.95	Professional		$712.50	$1,050.00	$1,570.95
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $203.85 / $359.95 / $843.90	Professional		$203.85	$359.95	$843.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $393.93 / $768.00 / $1,344.00	Professional		$393.93	$768.00	$1,344.00
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 $3,604.48 / $3,604.48 / $7,680.00	Professional		$3,604.48	$3,604.48	$7,680.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $276.45 / $1,050.00 / $1,200.00	Professional		$276.45	$1,050.00	$1,200.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,302.40 / $3,375.00 / $4,100.00	Facility		$1,302.40	$3,375.00	$4,100.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $750.00 / $1,050.00 / $1,401.12	Professional		$750.00	$1,050.00	$1,401.12
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,455.00 / $1,455.00 / $1,455.00	Professional		$1,455.00	$1,455.00	$1,455.00
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $18.05 / $24.84 / $462.91	Professional		$18.05	$24.84	$462.91
United Facility/Professional Professional Modifier Low / Median / High Price $38.00 / $52.00 / $85.00	Professional		$38.00	$52.00	$85.00