Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $365.00 / $4,702.00 / $16,125.00	Facility		$365.00	$4,702.00	$16,125.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $207.05 / $231.89 / $1,639.40	Facility	54	$207.05	$231.89	$1,639.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $256.92 / $329.91 / $1,479.00	Professional		$256.92	$329.91	$1,479.00
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 $326.50 / $408.91 / $822.79	Professional		$326.50	$408.91	$822.79
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 $236.67 / $329.57 / $739.62	Professional		$236.67	$329.57	$739.62
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 $295.31 / $404.47 / $871.47	Professional		$295.31	$404.47	$871.47
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $290.93 / $404.26 / $551.76	Professional		$290.93	$404.26	$551.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $339.64 / $464.90 / $800.06	Professional		$339.64	$464.90	$800.06
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,535.12 / $1,704.82 / $12,000.00	Facility		$1,535.12	$1,704.82	$12,000.00
Lucent Health Facility/Professional Facility Modifier 54 Low / Median / High Price $1,053.30 / $1,193.36 / $1,193.36	Facility	54	$1,053.30	$1,193.36	$1,193.36
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,364.32 / $2,708.08 / $3,151.50	Professional		$2,364.32	$2,708.08	$3,151.50
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 $286.88 / $433.35 / $607.49	Facility		$286.88	$433.35	$607.49
Providence Facility/Professional Facility Modifier 54 Low / Median / High Price $379.78 / $379.78 / $679.66	Facility	54	$379.78	$379.78	$679.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $299.49 / $432.18 / $885.52	Professional		$299.49	$432.18	$885.52
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,019.94 / $1,019.94 / $1,144.96	Professional		$1,019.94	$1,019.94	$1,144.96
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $326.56 / $417.93 / $545.49	Professional		$326.56	$417.93	$545.49
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 $267.91 / $347.20 / $870.56	Professional		$267.91	$347.20	$870.56