Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $934.95 / $5,308.00 / $17,013.00	Facility		$934.95	$5,308.00	$17,013.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $37.78 / $40.38 / $177.81	Facility	52	$37.78	$40.38	$177.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.65 / $75.55 / $341.98	Professional		$60.65	$75.55	$341.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,723.00 / $4,464.00 / $8,976.00	Facility		$1,723.00	$4,464.00	$8,976.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.00 / $105.27 / $241.22	Professional		$69.00	$105.27	$241.22
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $4,979.42	Facility		$66.00	$100.00	$4,979.42
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $66.56 / $93.13 / $191.49	Professional		$66.56	$93.13	$191.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $938.60 / $940.26 / $1,681.08	Facility		$938.60	$940.26	$1,681.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.72 / $111.44 / $246.14	Professional		$73.72	$111.44	$246.14
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $70.87 / $91.59 / $173.25	Professional		$70.87	$91.59	$173.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $60.46 / $84.06 / $169.47	Professional		$60.46	$84.06	$169.47
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $197.11 / $2,710.90	Facility		$55.00	$197.11	$2,710.90
Lucent Health Facility/Professional Facility Modifier 52 Low / Median / High Price $157.69 / $2,055.60 / $2,055.60	Facility	52	$157.69	$2,055.60	$2,055.60
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,398.72 / $1,398.72 / $1,398.72	Professional		$1,398.72	$1,398.72	$1,398.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $72.84 / $87.86 / $190.49	Facility		$72.84	$87.86	$190.49
Providence Facility/Professional Facility Modifier 52 Low / Median / High Price $56.37 / $56.37 / $56.37	Facility	52	$56.37	$56.37	$56.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $73.72 / $117.69 / $214.23	Professional		$73.72	$117.69	$214.23
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $202.14 / $202.14 / $202.14	Professional		$202.14	$202.14	$202.14
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $64.34 / $91.59 / $173.25	Professional		$64.34	$91.59	$173.25
United Facility/Professional Facility Modifier Low / Median / High Price $1,371.00 / $2,699.00 / $7,399.00	Facility		$1,371.00	$2,699.00	$7,399.00
United Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $82.41 / $188.78	Professional		$50.12	$82.41	$188.78