Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.02 / $43.49 / $16,863.00	Facility		$40.02	$43.49	$16,863.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.60 / $44.56 / $223.14	Professional		$37.60	$44.56	$223.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,137.00 / $5,931.00 / $12,953.00	Facility		$2,137.00	$5,931.00	$12,953.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.79 / $82.80 / $153.46	Professional		$56.79	$82.80	$153.46
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 $30.32 / $42.90 / $100.00	Professional		$30.32	$42.90	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.22 / $53.93 / $142.16	Professional		$41.22	$53.93	$142.16
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $27.27 / $36.03 / $45.70	Professional		$27.27	$36.03	$45.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $24.54 / $31.39 / $58.54	Professional		$24.54	$31.39	$58.54
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $62.33 / $5,294.00 / $5,294.00	Facility		$62.33	$5,294.00	$5,294.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $280.99 / $433.89 / $451.24	Professional		$280.99	$433.89	$451.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $26.32 / $34.09 / $66.31	Facility		$26.32	$34.09	$66.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $36.74 / $54.38 / $125.61	Professional		$36.74	$54.38	$125.61
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $143.54 / $143.54 / $143.54	Professional		$143.54	$143.54	$143.54
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $25.50 / $45.70 / $68.55	Professional		$25.50	$45.70	$68.55
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 $35.28 / $51.60 / $117.49	Professional		$35.28	$51.60	$117.49