Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.20 / $6,505.00 / $19,011.00	Facility		$80.20	$6,505.00	$19,011.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.06 / $82.30 / $351.00	Professional		$47.06	$82.30	$351.00
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $21.36 / $35.83 / $155.53	Professional	52	$21.36	$35.83	$155.53
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $8.53 / $14.33 / $62.21	Professional	53	$8.53	$14.33	$62.21
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 $55.43 / $93.83 / $196.14	Professional		$55.43	$93.83	$196.14
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $1,588.01	Facility		$66.00	$100.00	$1,588.01
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $51.96 / $81.27 / $168.03	Professional		$51.96	$81.27	$168.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.62 / $57.46 / $135.38	Facility		$48.62	$57.46	$135.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.16 / $83.54 / $200.67	Professional		$49.16	$83.54	$200.67
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $37.50 / $54.00 / $96.91	Professional		$37.50	$54.00	$96.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $45.54 / $76.98 / $132.33	Professional		$45.54	$76.98	$132.33
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $208.92 / $220.78	Facility		$55.00	$208.92	$220.78
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $330.24 / $533.04 / $626.85	Professional		$330.24	$533.04	$626.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $49.09 / $77.52 / $120.94	Facility		$49.09	$77.52	$120.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $50.65 / $87.14 / $190.85	Professional		$50.65	$87.14	$190.85
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $150.60 / $150.60 / $223.93	Professional		$150.60	$150.60	$223.93
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $37.50 / $53.99 / $97.83	Professional		$37.50	$53.99	$97.83
United Facility/Professional Facility Modifier Low / Median / High Price $421.00 / $1,506.00 / $6,323.00	Facility		$421.00	$1,506.00	$6,323.00
United Facility/Professional Professional Modifier Low / Median / High Price $54.88 / $80.56 / $232.90	Professional		$54.88	$80.56	$232.90