Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $1,819.70 / $5,128.61	Facility		$38.02	$1,819.70	$5,128.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $50.12 / $3,630.78	Professional		$30.20	$50.12	$3,630.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,445.44 / $2,691.53	Professional		$1,047.13	$1,445.44	$2,691.53
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $1,318.26 / $2,089.30	Professional		$100.00	$1,318.26	$2,089.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,737.80 / $2,511.89	Professional		$1,148.15	$1,737.80	$2,511.89
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $588.84 / $1,380.38	Professional		$331.13	$588.84	$1,380.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $1,174.90 / $2,089.30	Professional		$562.34	$1,174.90	$2,089.30
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 $5,888.44 / $12,589.25 / $12,589.25	Professional		$5,888.44	$12,589.25	$12,589.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $457.09 / $457.09	Professional		$457.09	$457.09	$457.09
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 $1,096.48 / $1,621.81 / $2,290.87	Professional		$1,096.48	$1,621.81	$2,290.87
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $2,398.83 / $2,398.83	Professional		$2,398.83	$2,398.83	$2,398.83
United Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $52.48 / $83.18	Professional		$38.02	$52.48	$83.18