Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $416.87 / $1,202.26	Facility		$38.02	$416.87	$1,202.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $50.12 / $851.14	Professional		$30.20	$50.12	$851.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $331.13 / $616.60	Professional		$245.47	$331.13	$616.60
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $302.00 / $489.78	Professional		$100.00	$302.00	$489.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $346.74 / $501.19	Professional		$229.09	$346.74	$501.19
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $138.04 / $323.59	Professional		$77.62	$138.04	$323.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $275.42 / $501.19	Professional		$134.90	$275.42	$501.19
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 $1,348.96 / $2,884.03 / $2,884.03	Professional		$1,348.96	$2,884.03	$2,884.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $91.20 / $91.20	Professional		$91.20	$91.20	$91.20
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 $218.78 / $346.74 / $489.78	Professional		$218.78	$346.74	$489.78
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $489.78 / $489.78	Professional		$489.78	$489.78	$489.78
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $25.12 / $154.88	Professional		$18.20	$25.12	$154.88
United Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $52.48 / $83.18	Professional		$38.02	$52.48	$83.18