Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $776.25 / $2,187.76	Facility		$38.02	$776.25	$2,187.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $50.12 / $1,548.82	Professional		$30.20	$50.12	$1,548.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $676.08 / $1,659.59	Professional		$426.58	$676.08	$1,659.59
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $549.54 / $891.25	Professional		$100.00	$549.54	$891.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $707.95 / $1,000.00	Professional		$457.09	$707.95	$1,000.00
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 / $489.78 / $933.25	Professional		$199.53	$489.78	$933.25
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $104.71 / $104.71	Facility		$104.71	$104.71	$104.71
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $5,248.07 / $5,248.07	Professional		$2,454.71	$5,248.07	$5,248.07
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 $436.52 / $660.69 / $954.99	Professional		$436.52	$660.69	$954.99
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