Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $165.96 / $69,183.10	Facility		$28.18	$165.96	$69,183.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $30.20 / $114.82	Professional		$25.12	$30.20	$114.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $4,466.84 / $12,882.50	Facility		$2,511.89	$4,466.84	$12,882.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $48.98 / $102.33	Professional		$25.12	$48.98	$102.33
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $512.86 / $5,754.40	Facility		$66.07	$512.86	$5,754.40
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $33.88 / $75.86	Professional		$23.44	$33.88	$75.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $38.90 / $87.10	Professional		$29.51	$38.90	$87.10
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $338.84 / $354.81	Professional		$338.84	$338.84	$354.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $33.11 / $70.79	Professional		$23.99	$33.11	$70.79
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $1,288.25	Facility		$54.95	$56.23	$1,288.25
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $794.33 / $794.33	Professional		$794.33	$794.33	$794.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $38.90 / $93.33	Facility		$26.92	$38.90	$93.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $38.90 / $87.10	Professional		$29.51	$38.90	$87.10
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $24.55 / $29.51	Professional		$21.38	$24.55	$29.51
United Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $1,584.89 / $6,456.54	Facility		$588.84	$1,584.89	$6,456.54
United Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $33.11 / $83.18	Professional		$23.44	$33.11	$83.18