Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.00 / $41.00 / $1,146.00	Facility		$38.00	$41.00	$1,146.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $45.00 / $960.48	Professional		$30.00	$45.00	$960.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $228.00 / $402.00 / $1,121.00	Professional		$228.00	$402.00	$1,121.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $274.86 / $413.47	Professional		$100.00	$274.86	$413.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $237.50 / $350.00 / $523.65	Professional		$237.50	$350.00	$523.65
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $94.17 / $136.56 / $320.16	Professional		$94.17	$136.56	$320.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $184.86 / $300.00 / $519.00	Professional		$184.86	$300.00	$519.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $270.00 / $270.00 / $270.00	Facility		$270.00	$270.00	$270.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,351.68 / $1,351.68 / $2,880.00	Professional		$1,351.68	$1,351.68	$2,880.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $92.15 / $350.00 / $400.00	Professional		$92.15	$350.00	$400.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $488.40 / $3,375.00 / $4,100.00	Facility		$488.40	$3,375.00	$4,100.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $250.00 / $360.00 / $499.50	Professional		$250.00	$360.00	$499.50
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $485.00 / $485.00 / $485.00	Professional		$485.00	$485.00	$485.00
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 / $85.16	Professional		$38.00	$52.00	$85.16