Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $5,545.00 / $17,701.00	Facility		$1,017.00	$5,545.00	$17,701.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $73.50 / $88.05 / $1,778.71	Facility	52	$73.50	$88.05	$1,778.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $122.19 / $181.56 / $803.75	Professional		$122.19	$181.56	$803.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $873.00 / $4,417.00 / $9,244.00	Facility		$873.00	$4,417.00	$9,244.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $217.51 / $316.89 / $912.91	Professional		$217.51	$316.89	$912.91
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $67.90 / $100.00 / $4,886.39	Facility		$67.90	$100.00	$4,886.39
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $125.67 / $181.73 / $456.02	Professional		$125.67	$181.73	$456.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $339.00 / $888.30 / $2,226.34	Facility		$339.00	$888.30	$2,226.34
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $157.86 / $157.86 / $157.86	Facility	52	$157.86	$157.86	$157.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.43 / $238.08 / $1,162.30	Professional		$141.43	$238.08	$1,162.30
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $123.23 / $155.40 / $811.43	Professional		$123.23	$155.40	$811.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $116.72 / $401.88 / $868.75	Professional		$116.72	$401.88	$868.75
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $662.80 / $872.52 / $12,000.00	Facility		$662.80	$872.52	$12,000.00
Lucent Health Facility/Professional Facility Modifier 52 Low / Median / High Price $422.66 / $459.95 / $459.95	Facility	52	$422.66	$459.95	$459.95
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,771.70 / $3,408.32 / $4,004.78	Professional		$1,771.70	$3,408.32	$4,004.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $400.10	Professional		$32.34	$32.34	$400.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $136.97 / $247.84 / $780.23	Facility		$136.97	$247.84	$780.23
Providence Facility/Professional Facility Modifier 52 Low / Median / High Price $157.86 / $157.86 / $157.86	Facility	52	$157.86	$157.86	$157.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $148.38 / $294.45 / $1,272.02	Professional		$148.38	$294.45	$1,272.02
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $383.51 / $383.51 / $1,784.02	Professional		$383.51	$383.51	$1,784.02
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $105.95 / $155.40 / $694.07	Professional		$105.95	$155.40	$694.07
United Facility/Professional Facility Modifier Low / Median / High Price $1,089.45 / $3,964.00 / $9,131.00	Facility		$1,089.45	$3,964.00	$9,131.00
United Facility/Professional Professional Modifier Low / Median / High Price $157.37 / $495.99 / $1,368.85	Professional		$157.37	$495.99	$1,368.85