Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $4,466.84 / $15,848.93	Facility		$602.56	$4,466.84	$15,848.93
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $660.69 / $660.69 / $660.69	Facility	54	$660.69	$660.69	$660.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $398.11 / $1,258.93	Professional		$245.47	$398.11	$1,258.93
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $812.83 / $1,380.38 / $1,380.38	Professional	50	$812.83	$1,380.38	$1,380.38
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $288.40 / $407.38 / $794.33	Professional	54	$288.40	$407.38	$794.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $436.52 / $691.83	Professional		$331.13	$436.52	$691.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $6,165.95 / $13,489.63	Facility		$3,630.78	$6,165.95	$13,489.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $426.58 / $891.25	Professional		$288.40	$426.58	$891.25
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $416.87 / $501.19 / $776.25	Professional	50	$416.87	$501.19	$776.25
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $239.88 / $1,778.28	Facility		$66.07	$239.88	$1,778.28
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $354.81 / $741.31	Professional		$234.42	$354.81	$741.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $251.19 / $251.19	Facility		$251.19	$251.19	$251.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $398.11 / $794.33	Professional		$269.15	$398.11	$794.33
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $478.63 / $602.56	Professional		$158.49	$478.63	$602.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $467.74 / $758.58	Professional		$363.08	$467.74	$758.58
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $4,786.30	Facility		$54.95	$56.23	$4,786.30
Lucent Health Facility/Professional Facility Modifier 54 Low / Median / High Price $1,445.44 / $1,445.44 / $1,445.44	Facility	54	$1,445.44	$1,445.44	$1,445.44
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $3,019.95 / $3,019.95	Professional		$2,570.40	$3,019.95	$3,019.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $295.12 / $489.78	Professional		$295.12	$295.12	$489.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $436.52 / $676.08	Facility		$302.00	$436.52	$676.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $407.38 / $870.96	Professional		$269.15	$407.38	$870.96
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,096.48	Professional		$1,047.13	$1,047.13	$1,096.48
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $234.42 / $457.09	Professional		$158.49	$234.42	$457.09
United Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $1,584.89 / $6,456.54	Facility		$588.84	$1,584.89	$6,456.54
United Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $309.03 / $676.08	Professional		$234.42	$309.03	$676.08