Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $495.86 / $4,848.00 / $16,573.00	Facility		$495.86	$4,848.00	$16,573.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $51.55 / $227.06 / $1,562.65	Facility	52	$51.55	$227.06	$1,562.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.39 / $416.48 / $704.43	Professional		$100.39	$416.48	$704.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $4,597.00 / $9,274.00	Facility		$2,143.00	$4,597.00	$9,274.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $115.50 / $488.82 / $1,159.08	Professional		$115.50	$488.82	$1,159.08
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $1,912.24	Facility		$66.00	$100.00	$1,912.24
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $352.81 / $912.18	Professional		$112.20	$352.81	$912.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $477.02 / $563.75 / $1,328.15	Facility		$477.02	$563.75	$1,328.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $118.49 / $483.88 / $1,295.30	Professional		$118.49	$483.88	$1,295.30
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $116.21 / $428.52 / $642.78	Professional		$116.21	$428.52	$642.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $106.87 / $381.00 / $798.35	Professional		$106.87	$381.00	$798.35
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $977.84 / $977.84 / $1,003.12	Facility		$977.84	$977.84	$1,003.12
Lucent Health Facility/Professional Facility Modifier 52 Low / Median / High Price $221.22 / $415.26 / $415.26	Facility	52	$221.22	$415.26	$415.26
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,515.67 / $3,012.64 / $3,517.95	Professional		$1,515.67	$3,012.64	$3,517.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $118.53 / $373.66 / $697.82	Facility		$118.53	$373.66	$697.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $124.46 / $495.51 / $1,228.13	Professional		$124.46	$495.51	$1,228.13
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $370.74 / $370.74 / $1,577.70	Professional		$370.74	$370.74	$1,577.70
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $107.16 / $440.29 / $642.78	Professional		$107.16	$440.29	$642.78
United Facility/Professional Facility Modifier Low / Median / High Price $1,371.00 / $2,731.00 / $7,940.00	Facility		$1,371.00	$2,731.00	$7,940.00
United Facility/Professional Professional Modifier Low / Median / High Price $372.96 / $546.12 / $1,588.21	Professional		$372.96	$546.12	$1,588.21