Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $630.96 / $1,778.28	Facility		$38.02	$630.96	$1,778.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $50.12 / $1,258.93	Professional		$30.20	$50.12	$1,258.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $562.34 / $1,445.44	Professional		$354.81	$562.34	$1,445.44
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $457.09 / $724.44	Professional		$100.00	$457.09	$724.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $562.34 / $794.33	Professional		$371.54	$562.34	$794.33
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $169.82 / $398.11	Professional		$117.49	$169.82	$398.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $407.38 / $758.58	Professional		$199.53	$407.38	$758.58
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $407.38 / $407.38	Facility		$407.38	$407.38	$407.38
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $4,365.16 / $4,365.16	Professional		$2,041.74	$4,365.16	$4,365.16
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 $354.81 / $537.03 / $758.58	Professional		$354.81	$537.03	$758.58
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $776.25 / $776.25	Professional		$776.25	$776.25	$776.25
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