Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $707.95 / $1,995.26	Facility		$38.02	$707.95	$1,995.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $50.12 / $1,412.54	Professional		$30.20	$50.12	$1,412.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $549.54 / $1,023.29	Professional		$389.05	$549.54	$1,023.29
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $501.19 / $812.83	Professional		$100.00	$501.19	$812.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $630.96 / $891.25	Professional		$416.87	$630.96	$891.25
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $223.87 / $524.81	Professional		$128.82	$223.87	$524.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $446.68 / $812.83	Professional		$223.87	$446.68	$812.83
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 $2,238.72 / $4,786.30 / $4,786.30	Professional		$2,238.72	$4,786.30	$4,786.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $165.96 / $165.96	Professional		$165.96	$165.96	$165.96
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 $398.11 / $602.56 / $851.14	Professional		$398.11	$602.56	$851.14
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $870.96 / $870.96	Professional		$870.96	$870.96	$870.96
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $25.12 / $275.42	Professional		$18.20	$25.12	$275.42
United Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $52.48 / $83.18	Professional		$38.02	$52.48	$83.18