Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.09 / $56.70 / $17,190.00	Facility		$52.09	$56.70	$17,190.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.53 / $57.98 / $298.45	Professional		$49.53	$57.98	$298.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,137.00 / $5,931.00 / $13,377.00	Facility		$2,137.00	$5,931.00	$13,377.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.13 / $93.21 / $197.53	Professional		$61.13	$93.21	$197.53
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $65.50 / $91.00 / $24,547.00	Facility		$65.50	$91.00	$24,547.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $39.09 / $55.32 / $125.20	Professional		$39.09	$55.32	$125.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.40 / $71.61 / $184.92	Professional		$56.40	$71.61	$184.92
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $46.90 / $53.56 / $70.34	Professional		$46.90	$53.56	$70.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $48.20 / $60.09 / $113.69	Professional		$48.20	$60.09	$113.69
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $114.24 / $5,294.00 / $5,294.00	Facility		$114.24	$5,294.00	$5,294.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $421.65 / $558.82 / $581.17	Professional		$421.65	$558.82	$581.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $50.79 / $62.59 / $86.40	Facility		$50.79	$62.59	$86.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $56.29 / $69.95 / $163.18	Professional		$56.29	$69.95	$163.18
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $185.19 / $185.19 / $185.19	Professional		$185.19	$185.19	$185.19
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $46.90 / $59.49 / $89.23	Professional		$46.90	$59.49	$89.23
United Facility/Professional Facility Modifier Low / Median / High Price $548.00 / $1,551.00 / $7,068.00	Facility		$548.00	$1,551.00	$7,068.00
United Facility/Professional Professional Modifier Low / Median / High Price $46.76 / $66.72 / $146.83	Professional		$46.76	$66.72	$146.83