Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.00 / $41.00 / $955.00	Facility		$38.00	$41.00	$955.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $42.00 / $773.60	Professional		$30.00	$42.00	$773.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.40 / $286.50 / $476.80	Professional		$208.40	$286.50	$476.80
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $229.05 / $344.56	Professional		$100.00	$229.05	$344.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.00 / $280.00 / $418.92	Professional		$190.00	$280.00	$418.92
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $64.59 / $114.05 / $267.38	Professional		$64.59	$114.05	$267.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $154.05 / $250.00 / $430.00	Professional		$154.05	$250.00	$430.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $225.00 / $225.00 / $225.00	Facility		$225.00	$225.00	$225.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,126.40 / $1,126.40 / $2,400.00	Professional		$1,126.40	$1,126.40	$2,400.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $73.72 / $280.00 / $320.00	Professional		$73.72	$280.00	$320.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $407.00 / $3,375.00 / $4,100.00	Facility		$407.00	$3,375.00	$4,100.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $200.00 / $292.00 / $416.25	Professional		$200.00	$292.00	$416.25
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $388.00 / $388.00 / $388.00	Professional		$388.00	$388.00	$388.00
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $18.05 / $24.84 / $34.15	Professional		$18.05	$24.84	$34.15
United Facility/Professional Professional Modifier Low / Median / High Price $38.00 / $52.00 / $85.16	Professional		$38.00	$52.00	$85.16