Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $410.41 / $4,147.00 / $16,109.00	Facility		$410.41	$4,147.00	$16,109.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $233.63 / $259.52 / $1,780.81	Facility	54	$233.63	$259.52	$1,780.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $311.50 / $387.35 / $1,629.59	Professional		$311.50	$387.35	$1,629.59
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 $371.84 / $465.70 / $937.04	Professional		$371.84	$465.70	$937.04
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 $281.44 / $386.51 / $873.56	Professional		$281.44	$386.51	$873.56
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 $340.99 / $456.19 / $960.19	Professional		$340.99	$456.19	$960.19
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $189.81 / $446.38 / $602.61	Professional		$189.81	$446.38	$602.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $372.64 / $507.88 / $890.00	Professional		$372.64	$507.88	$890.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,711.44 / $1,890.74 / $12,000.00	Facility		$1,711.44	$1,890.74	$12,000.00
Lucent Health Facility/Professional Facility Modifier 54 Low / Median / High Price $1,174.11 / $1,323.52 / $1,323.52	Facility	54	$1,174.11	$1,323.52	$1,323.52
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,636.64 / $2,936.88 / $3,420.75	Professional		$2,636.64	$2,936.88	$3,420.75
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 $324.20 / $483.22 / $658.21	Facility		$324.20	$483.22	$658.21
Providence Facility/Professional Facility Modifier 54 Low / Median / High Price $424.84 / $424.84 / $738.76	Facility	54	$424.84	$424.84	$738.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $348.27 / $488.12 / $977.57	Professional		$348.27	$488.12	$977.57
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,139.95 / $1,139.95 / $1,252.95	Professional		$1,139.95	$1,139.95	$1,252.95
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $222.86 / $398.79 / $548.34	Professional		$222.86	$398.79	$548.34
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 $292.41 / $381.50 / $862.35	Professional		$292.41	$381.50	$862.35