Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $110.25 / $1,652.00 / $12,301.00	Facility		$110.25	$1,652.00	$12,301.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $16.23 / $43.29 / $196.26	Facility	52	$16.23	$43.29	$196.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.75 / $83.56 / $295.00	Professional		$30.75	$83.56	$295.00
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $14.28 / $39.78 / $163.84	Professional	52	$14.28	$39.78	$163.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,723.00 / $4,505.00 / $9,119.00	Facility		$1,723.00	$4,505.00	$9,119.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.81 / $81.59 / $179.07	Professional		$32.81	$81.59	$179.07
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $76.05 / $100.00 / $356.35	Facility		$76.05	$100.00	$356.35
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $31.77 / $81.56 / $155.38	Professional		$31.77	$81.56	$155.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.89 / $74.05 / $183.12	Professional		$29.89	$74.05	$183.12
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $27.04 / $85.79 / $125.36	Professional		$27.04	$85.79	$125.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $24.73 / $63.27 / $115.91	Professional		$24.73	$63.27	$115.91
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $112.04 / $120.22	Facility		$55.00	$112.04	$120.22
Lucent Health Facility/Professional Facility Modifier 52 Low / Median / High Price $50.96 / $96.18 / $96.18	Facility	52	$50.96	$96.18	$96.18
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $263.00 / $549.24 / $570.92	Professional		$263.00	$549.24	$570.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $28.82 / $56.19 / $126.10	Facility		$28.82	$56.19	$126.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $30.91 / $76.45 / $171.80	Professional		$30.91	$76.45	$171.80
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $83.11 / $83.11 / $203.33	Professional		$83.11	$83.11	$203.33
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $30.02 / $99.40 / $175.50	Professional		$30.02	$99.40	$175.50
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 $50.46 / $83.53 / $204.32	Professional		$50.46	$83.53	$204.32