Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $416.87 / $1,202.26	Facility		$38.02	$416.87	$1,202.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $50.12 / $851.14	Professional		$30.20	$50.12	$851.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $380.19 / $891.25	Professional		$245.47	$380.19	$891.25
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $302.00 / $489.78	Professional		$100.00	$302.00	$489.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $346.74 / $1,000.00	Professional		$218.78	$346.74	$1,000.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $138.04 / $323.59	Professional		$93.33	$138.04	$323.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $263.03 / $537.03	Professional		$128.82	$263.03	$537.03
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $269.15 / $269.15	Facility		$269.15	$269.15	$269.15
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $2,884.03 / $2,884.03	Professional		$1,348.96	$2,884.03	$2,884.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $147.91	Professional		$147.91	$147.91	$147.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $3,630.78 / $5,623.41	Facility		$87.10	$3,630.78	$5,623.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $346.74 / $794.33	Professional		$218.78	$346.74	$794.33
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $489.78 / $489.78	Professional		$489.78	$489.78	$489.78
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $23.99 / $28.84	Professional		$18.20	$23.99	$28.84
United Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $52.48 / $83.18	Professional		$38.02	$52.48	$83.18