Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $378.37 / $2,234.00 / $12,774.00	Facility		$378.37	$2,234.00	$12,774.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $123.62 / $135.78 / $982.26	Facility	52	$123.62	$135.78	$982.26
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $185.43 / $203.66 / $1,473.38	Facility	54	$185.43	$203.66	$1,473.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $232.17 / $298.70 / $1,259.89	Professional		$232.17	$298.70	$1,259.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $593.72 / $593.72 / $629.55	Professional		$593.72	$593.72	$629.55
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 $301.89 / $381.04 / $760.78	Professional		$301.89	$381.04	$760.78
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,367.09	Facility		$66.00	$100.00	$5,367.09
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $212.46 / $303.52 / $669.68	Professional		$212.46	$303.52	$669.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $253.20 / $253.65 / $1,487.00	Facility		$253.20	$253.65	$1,487.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $271.92 / $369.91 / $783.02	Professional		$271.92	$369.91	$783.02
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $140.27 / $376.03 / $508.51	Professional		$140.27	$376.03	$508.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $321.29 / $435.13 / $753.92	Professional		$321.29	$435.13	$753.92
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,439.66 / $1,606.45 / $12,000.00	Facility		$1,439.66	$1,606.45	$12,000.00
Lucent Health Facility/Professional Facility Modifier 52 Low / Median / High Price $1,151.73 / $1,285.16 / $1,285.16	Facility	52	$1,151.73	$1,285.16	$1,285.16
Lucent Health Facility/Professional Facility Modifier 54 Low / Median / High Price $1,007.76 / $1,124.51 / $1,124.51	Facility	54	$1,007.76	$1,124.51	$1,124.51
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,258.80 / $2,546.80 / $2,983.35	Professional		$2,258.80	$2,546.80	$2,983.35
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 $288.58 / $411.80 / $558.03	Facility		$288.58	$411.80	$558.03
Providence Facility/Professional Facility Modifier 52 Low / Median / High Price $419.02 / $419.02 / $419.02	Facility	52	$419.02	$419.02	$419.02
Providence Facility/Professional Facility Modifier 54 Low / Median / High Price $366.64 / $366.64 / $632.12	Facility	54	$366.64	$366.64	$632.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $279.31 / $392.57 / $808.93	Professional		$279.31	$392.57	$808.93
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $950.07 / $950.07 / $1,048.65	Professional		$950.07	$950.07	$1,048.65
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $157.10 / $341.59 / $470.59	Professional		$157.10	$341.59	$470.59
United Facility/Professional Facility Modifier Low / Median / High Price $548.00 / $1,533.00 / $6,323.00	Facility		$548.00	$1,533.00	$6,323.00
United Facility/Professional Professional Modifier Low / Median / High Price $247.86 / $321.30 / $719.76	Professional		$247.86	$321.30	$719.76