Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.00 / $41.00 / $764.00	Facility		$38.00	$41.00	$764.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $45.00 / $640.32	Professional		$30.00	$45.00	$640.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $167.88 / $229.20 / $381.44	Professional		$167.88	$229.20	$381.44
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $183.24 / $275.64	Professional		$100.00	$183.24	$275.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $142.50 / $210.00 / $314.19	Professional		$142.50	$210.00	$314.19
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $51.98 / $91.78 / $215.18	Professional		$51.98	$91.78	$215.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $123.24 / $200.00 / $350.00	Professional		$123.24	$200.00	$350.00
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 $901.12 / $901.12 / $1,920.00	Professional		$901.12	$901.12	$1,920.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.29 / $210.00 / $240.00	Professional		$55.29	$210.00	$240.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $325.60 / $3,375.00 / $4,100.00	Facility		$325.60	$3,375.00	$4,100.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $225.00 / $327.36	Professional		$150.00	$225.00	$327.36
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $291.00 / $291.00 / $291.00	Professional		$291.00	$291.00	$291.00
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $18.05 / $21.02 / $28.23	Professional		$18.05	$21.02	$28.23
United Facility/Professional Professional Modifier Low / Median / High Price $38.00 / $52.00 / $85.00	Professional		$38.00	$52.00	$85.00