Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $394.54 / $4,494.00 / $16,210.00	Facility		$394.54	$4,494.00	$16,210.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $207.24 / $232.08 / $1,584.35	Facility	54	$207.24	$232.08	$1,584.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $276.31 / $340.38 / $1,254.23	Professional		$276.31	$340.38	$1,254.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $408.94 / $408.94 / $408.94	Professional		$408.94	$408.94	$408.94
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 $323.29 / $417.04 / $839.14	Professional		$323.29	$417.04	$839.14
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 $244.29 / $348.99 / $757.71	Professional		$244.29	$348.99	$757.71
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 $306.95 / $407.44 / $852.26	Professional		$306.95	$407.44	$852.26
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $135.52 / $383.65 / $517.92	Professional		$135.52	$383.65	$517.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $327.22 / $442.73 / $779.32	Professional		$327.22	$442.73	$779.32
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,483.12 / $1,633.48	Facility		$55.00	$1,483.12	$1,633.48
Lucent Health Facility/Professional Facility Modifier 54 Low / Median / High Price $1,020.47 / $1,143.44 / $1,143.44	Facility	54	$1,020.47	$1,143.44	$1,143.44
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,292.08 / $2,621.60 / $3,052.20	Professional		$2,292.08	$2,621.60	$3,052.20
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 $305.31 / $434.09 / $591.04	Facility		$305.31	$434.09	$591.04
Providence Facility/Professional Facility Modifier 54 Low / Median / High Price $370.70 / $370.70 / $661.67	Facility	54	$370.70	$370.70	$661.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $314.62 / $433.09 / $863.03	Professional		$314.62	$433.09	$863.03
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $996.47 / $996.47 / $1,119.08	Professional		$996.47	$996.47	$1,119.08
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $151.78 / $309.83 / $486.27	Professional		$151.78	$309.83	$486.27
United Facility/Professional Facility Modifier Low / Median / High Price $466.00 / $1,495.00 / $5,830.00	Facility		$466.00	$1,495.00	$5,830.00
United Facility/Professional Professional Modifier Low / Median / High Price $265.13 / $346.46 / $748.77	Professional		$265.13	$346.46	$748.77