Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $530.13 / $3,316.00 / $14,699.00	Facility		$530.13	$3,316.00	$14,699.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $400.00 / $431.93 / $2,477.35	Facility	54	$400.00	$431.93	$2,477.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $499.67 / $600.89 / $2,275.00	Professional		$499.67	$600.89	$2,275.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $472.73 / $1,049.53 / $1,237.81	Professional		$472.73	$1,049.53	$1,237.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,137.00 / $5,863.00 / $11,400.00	Facility		$2,137.00	$5,863.00	$11,400.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $559.54 / $779.92 / $1,468.36	Professional		$559.54	$779.92	$1,468.36
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,826.58	Facility		$66.00	$100.00	$7,826.58
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $424.15 / $602.50 / $1,368.00	Professional		$424.15	$602.50	$1,368.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,646.28 / $1,649.19 / $2,948.55	Facility		$1,646.28	$1,649.19	$2,948.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $529.35 / $684.31 / $1,364.44	Professional		$529.35	$684.31	$1,364.44
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $271.41 / $668.32 / $902.23	Professional		$271.41	$668.32	$902.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $524.16 / $700.66 / $1,240.38	Professional		$524.16	$700.66	$1,240.38
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,458.40 / $2,678.10 / $26,542.00	Facility		$2,458.40	$2,678.10	$26,542.00
Lucent Health Facility/Professional Facility Modifier 54 Low / Median / High Price $1,688.06 / $1,874.67 / $1,874.67	Facility	54	$1,688.06	$1,874.67	$1,874.67
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,783.20 / $4,098.39 / $4,775.47	Professional		$3,783.20	$4,098.39	$4,775.47
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 $518.40 / $688.79 / $928.97	Facility		$518.40	$688.79	$928.97
Providence Facility/Professional Facility Modifier 54 Low / Median / High Price $615.99 / $615.99 / $1,042.61	Facility	54	$615.99	$615.99	$1,042.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $536.51 / $722.40 / $1,396.10	Professional		$536.51	$722.40	$1,396.10
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,670.54 / $1,670.54 / $1,772.72	Professional		$1,670.54	$1,670.54	$1,772.72
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $379.97 / $567.00 / $742.03	Professional		$379.97	$567.00	$742.03
United Facility/Professional Facility Modifier Low / Median / High Price $1,410.00 / $2,699.00 / $7,655.00	Facility		$1,410.00	$2,699.00	$7,655.00
United Facility/Professional Professional Modifier Low / Median / High Price $434.83 / $586.14 / $1,300.07	Professional		$434.83	$586.14	$1,300.07