Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $344.00 / $4,848.00 / $16,573.00	Facility		$344.00	$4,848.00	$16,573.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $188.72 / $208.55 / $1,430.92	Facility	54	$188.72	$208.55	$1,430.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.83 / $302.14 / $1,111.11	Professional		$234.83	$302.14	$1,111.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $192.99 / $192.99 / $192.99	Professional		$192.99	$192.99	$192.99
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 $297.63 / $377.01 / $756.53	Professional		$297.63	$377.01	$756.53
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 $213.01 / $304.30 / $653.13	Professional		$213.01	$304.30	$653.13
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 $276.02 / $367.47 / $775.18	Professional		$276.02	$367.47	$775.18
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $163.65 / $363.90 / $491.27	Professional		$163.65	$363.90	$491.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $303.93 / $407.28 / $723.81	Professional		$303.93	$407.28	$723.81
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,388.36 / $1,541.95	Facility		$55.00	$1,388.36	$1,541.95
Lucent Health Facility/Professional Facility Modifier 54 Low / Median / High Price $957.94 / $1,079.36 / $1,079.36	Facility	54	$957.94	$1,079.36	$1,079.36
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,151.28 / $2,350.08 / $2,745.38	Professional		$2,151.28	$2,350.08	$2,745.38
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 $278.64 / $391.32 / $532.74	Facility		$278.64	$391.32	$532.74
Providence Facility/Professional Facility Modifier 54 Low / Median / High Price $346.72 / $346.72 / $591.01	Facility	54	$346.72	$346.72	$591.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $280.41 / $391.89 / $786.39	Professional		$280.41	$391.89	$786.39
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $931.04 / $931.04 / $1,007.98	Professional		$931.04	$931.04	$1,007.98
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $183.29 / $319.18 / $438.87	Professional		$183.29	$319.18	$438.87
United Facility/Professional Facility Modifier Low / Median / High Price $526.00 / $1,523.00 / $5,830.00	Facility		$526.00	$1,523.00	$5,830.00
United Facility/Professional Professional Modifier Low / Median / High Price $236.79 / $315.27 / $741.01	Professional		$236.79	$315.27	$741.01