Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $276.01 / $6,695.00 / $18,483.00	Facility		$276.01	$6,695.00	$18,483.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $186.40 / $207.01 / $1,443.35	Facility	54	$186.40	$207.01	$1,443.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $231.43 / $280.93 / $764.76	Professional		$231.43	$280.93	$764.76
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 $294.01 / $376.79 / $740.90	Professional		$294.01	$376.79	$740.90
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 $207.18 / $295.97 / $645.90	Professional		$207.18	$295.97	$645.90
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 $270.14 / $362.96 / $779.96	Professional		$270.14	$362.96	$779.96
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $156.37 / $367.90 / $496.67	Professional		$156.37	$367.90	$496.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $305.01 / $412.33 / $727.79	Professional		$305.01	$412.33	$727.79
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,391.08 / $1,550.40	Facility		$55.00	$1,391.08	$1,550.40
Lucent Health Facility/Professional Facility Modifier 54 Low / Median / High Price $956.89 / $1,085.28 / $1,085.28	Facility	54	$956.89	$1,085.28	$1,085.28
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,150.80 / $2,370.56 / $2,763.98	Professional		$2,150.80	$2,370.56	$2,763.98
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 $302.99 / $395.83 / $534.08	Facility		$302.99	$395.83	$534.08
Providence Facility/Professional Facility Modifier 54 Low / Median / High Price $345.03 / $345.03 / $594.86	Facility	54	$345.03	$345.03	$594.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $275.76 / $385.65 / $787.58	Professional		$275.76	$385.65	$787.58
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $927.25 / $927.25 / $1,010.20	Professional		$927.25	$927.25	$1,010.20
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $218.91 / $334.36 / $447.47	Professional		$218.91	$334.36	$447.47
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 $236.52 / $306.66 / $696.04	Professional		$236.52	$306.66	$696.04