Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $346.74 / $1,000.00	Facility		$38.02	$346.74	$1,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $50.12 / $707.95	Professional		$30.20	$50.12	$707.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $275.42 / $524.81	Professional		$204.17	$275.42	$524.81
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $251.19 / $407.38	Professional		$100.00	$251.19	$407.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $281.84 / $398.11	Professional		$181.97	$281.84	$398.11
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $114.82 / $269.15	Professional		$64.57	$114.82	$269.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $229.09 / $416.87	Professional		$112.20	$229.09	$416.87
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 $1,122.02 / $2,398.83 / $2,398.83	Professional		$1,122.02	$2,398.83	$2,398.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $74.13	Professional		$74.13	$74.13	$74.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $3,801.89 / $5,623.41	Facility		$87.10	$3,801.89	$5,623.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $281.84 / $416.87	Professional		$177.83	$281.84	$416.87
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $389.05 / $389.05	Professional		$389.05	$389.05	$389.05
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $25.12 / $123.03	Professional		$18.20	$25.12	$123.03
United Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $52.48 / $83.18	Professional		$38.02	$52.48	$83.18