Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $291.20 / $4,397.00 / $16,125.00	Facility		$291.20	$4,397.00	$16,125.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $165.68 / $185.50 / $1,343.56	Facility	54	$165.68	$185.50	$1,343.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $216.67 / $272.13 / $1,282.00	Professional		$216.67	$272.13	$1,282.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,137.00 / $5,694.00 / $11,233.00	Facility		$2,137.00	$5,694.00	$11,233.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $261.86 / $333.91 / $659.89	Professional		$261.86	$333.91	$659.89
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $1,581.82	Facility		$66.00	$100.00	$1,581.82
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $184.12 / $263.02 / $565.90	Professional		$184.12	$263.02	$565.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.00 / $253.20 / $453.49	Facility		$56.00	$253.20	$453.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $240.23 / $336.16 / $713.23	Professional		$240.23	$336.16	$713.23
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $148.97 / $335.33 / $456.37	Professional		$148.97	$335.33	$456.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $282.10 / $384.09 / $671.00	Professional		$282.10	$384.09	$671.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,270.16 / $1,415.36	Facility		$55.00	$1,270.16	$1,415.36
Lucent Health Facility/Professional Facility Modifier 54 Low / Median / High Price $875.28 / $990.75 / $990.75	Facility	54	$875.28	$990.75	$990.75
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,965.36 / $2,236.16 / $2,610.90	Professional		$1,965.36	$2,236.16	$2,610.90
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 $278.35 / $368.22 / $497.86	Facility		$278.35	$368.22	$497.86
Providence Facility/Professional Facility Modifier 54 Low / Median / High Price $315.83 / $315.83 / $561.46	Facility	54	$315.83	$315.83	$561.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $246.75 / $351.62 / $728.92	Professional		$246.75	$351.62	$728.92
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $839.11 / $839.11 / $940.09	Professional		$839.11	$839.11	$940.09
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $166.85 / $304.74 / $422.50	Professional		$166.85	$304.74	$422.50
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 $214.75 / $282.38 / $675.00	Professional		$214.75	$282.38	$675.00