Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $489.78 / $5,754.40	Facility		$40.74	$489.78	$5,754.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $50.12 / $977.24	Professional		$30.20	$50.12	$977.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $389.05 / $724.44	Professional		$288.40	$389.05	$724.44
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $354.81 / $562.34	Professional		$100.00	$354.81	$562.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $416.87 / $602.56	Professional		$275.42	$416.87	$602.56
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $158.49 / $371.54	Professional		$89.13	$158.49	$371.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $323.59 / $588.84	Professional		$154.88	$323.59	$588.84
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 $1,584.89 / $3,388.44 / $3,388.44	Professional		$1,584.89	$3,388.44	$3,388.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $109.65	Professional		$109.65	$109.65	$109.65
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 $263.03 / $416.87 / $575.44	Professional		$263.03	$416.87	$575.44
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $575.44 / $575.44	Professional		$575.44	$575.44	$575.44
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $25.12 / $186.21	Professional		$18.20	$25.12	$186.21
United Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $52.48 / $83.18	Professional		$38.02	$52.48	$83.18