Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $164.96 / $1,240.25 / $4,976.00	Professional		$164.96	$1,240.25	$4,976.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $220.89 / $1,923.87 / $4,530.93	Professional		$220.89	$1,923.87	$4,530.93
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $168.79 / $687.43 / $2,722.64	Professional		$168.79	$687.43	$2,722.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.19 / $1,455.72 / $3,561.73	Professional		$181.19	$1,455.72	$3,561.73
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $184.34 / $1,380.86 / $1,795.39	Professional		$184.34	$1,380.86	$1,795.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $174.53 / $827.66 / $2,010.37	Professional		$174.53	$827.66	$2,010.37
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,245.31 / $8,185.83 / $9,587.93	Professional		$4,245.31	$8,185.83	$9,587.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $181.40 / $1,468.97 / $3,648.16	Professional		$181.40	$1,468.97	$3,648.16
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $568.49 / $568.49 / $4,803.67	Professional		$568.49	$568.49	$4,803.67
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $167.13 / $1,380.86 / $2,071.29	Professional		$167.13	$1,380.86	$2,071.29
United Facility/Professional Professional Modifier Low / Median / High Price $1,171.90 / $1,751.85 / $4,176.31	Professional		$1,171.90	$1,751.85	$4,176.31