Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.24 / $9,639.00 / $20,509.00	Facility		$28.24	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.13 / $27.61 / $136.40	Professional		$24.13	$27.61	$136.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,787.00 / $4,539.00 / $9,381.00	Facility		$1,787.00	$4,539.00	$9,381.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.28 / $39.65 / $87.46	Professional		$24.28	$39.65	$87.46
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $31.00 / $66.70 / $137.47	Facility		$31.00	$66.70	$137.47
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $24.60 / $32.02 / $82.32	Professional		$24.60	$32.02	$82.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.10 / $34.77 / $103.25	Professional		$27.10	$34.77	$103.25
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $26.82 / $29.50 / $34.86	Professional		$26.82	$29.50	$34.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $24.25 / $31.53 / $56.88	Professional		$24.25	$31.53	$56.88
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $58.53 / $504.30 / $504.30	Facility		$58.53	$504.30	$504.30
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $406.00 / $406.00 / $406.00	Professional		$406.00	$406.00	$406.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $26.57 / $35.06 / $66.79	Facility		$26.57	$35.06	$66.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $27.11 / $34.84 / $77.52	Professional		$27.11	$34.84	$77.52
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $84.62 / $84.62 / $84.62	Professional		$84.62	$84.62	$84.62
United Facility/Professional Facility Modifier Low / Median / High Price $548.00 / $1,551.00 / $6,920.00	Facility		$548.00	$1,551.00	$6,920.00
United Facility/Professional Professional Modifier Low / Median / High Price $21.56 / $29.98 / $82.24	Professional		$21.56	$29.98	$82.24