Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.00 / $41.00 / $2,101.00	Facility		$38.00	$41.00	$2,101.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $45.00 / $1,760.88	Professional		$30.00	$45.00	$1,760.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $418.00 / $720.36 / $1,690.81	Professional		$418.00	$720.36	$1,690.81
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $503.91 / $758.03	Professional		$100.00	$503.91	$758.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $475.00 / $700.00 / $1,047.30	Professional		$475.00	$700.00	$1,047.30
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $118.23 / $171.44 / $401.94	Professional		$118.23	$171.44	$401.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $275.00 / $528.00 / $946.00	Professional		$275.00	$528.00	$946.00
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 $2,478.08 / $2,478.08 / $5,280.00	Professional		$2,478.08	$2,478.08	$5,280.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $147.44 / $560.00 / $640.00	Professional		$147.44	$560.00	$640.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $895.40 / $3,375.00 / $4,100.00	Facility		$895.40	$3,375.00	$4,100.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $500.00 / $710.00 / $950.00	Professional		$500.00	$710.00	$950.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $776.00 / $776.00 / $776.00	Professional		$776.00	$776.00	$776.00
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $18.05 / $24.84 / $29.00	Professional		$18.05	$24.84	$29.00
United Facility/Professional Professional Modifier Low / Median / High Price $38.00 / $52.00 / $85.00	Professional		$38.00	$52.00	$85.00