Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $281.84 / $794.33	Facility		$38.02	$281.84	$794.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $50.12 / $562.34	Professional		$30.20	$50.12	$562.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $223.87 / $416.87	Professional		$165.96	$223.87	$416.87
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $199.53 / $323.59	Professional		$100.00	$199.53	$323.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $208.93 / $302.00	Professional		$138.04	$208.93	$302.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $91.20 / $213.80	Professional		$52.48	$91.20	$213.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $181.97 / $338.84	Professional		$89.13	$181.97	$338.84
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 $891.25 / $1,905.46 / $1,905.46	Professional		$891.25	$1,905.46	$1,905.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $54.95	Professional		$54.95	$54.95	$54.95
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 $138.04 / $208.93 / $323.59	Professional		$138.04	$208.93	$323.59
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $288.40 / $288.40	Professional		$288.40	$288.40	$288.40
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $25.12 / $93.33	Professional		$18.20	$25.12	$93.33
United Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $52.48 / $83.18	Professional		$38.02	$52.48	$83.18