Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $178.88 / $6,695.00 / $18,483.00	Facility		$178.88	$6,695.00	$18,483.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $122.30 / $134.16 / $874.96	Facility	54	$122.30	$134.16	$874.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $150.16 / $179.37 / $574.26	Professional		$150.16	$179.37	$574.26
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 $177.92 / $241.78 / $486.48	Professional		$177.92	$241.78	$486.48
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 $132.26 / $180.65 / $408.86	Professional		$132.26	$180.65	$408.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.00 / $245.83 / $440.30	Facility		$56.00	$245.83	$440.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $174.84 / $232.14 / $485.31	Professional		$174.84	$232.14	$485.31
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $81.84 / $246.16 / $332.32	Professional		$81.84	$246.16	$332.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $197.84 / $266.32 / $479.97	Professional		$197.84	$266.32	$479.97
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $737.56 / $3,930.50	Facility		$55.00	$737.56	$3,930.50
Lucent Health Facility/Professional Facility Modifier 54 Low / Median / High Price $319.56 / $638.98 / $725.42	Facility	54	$319.56	$638.98	$725.42
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,434.32 / $1,452.64 / $1,724.18	Professional		$1,434.32	$1,452.64	$1,724.18
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 $168.83 / $252.98 / $337.48	Facility		$168.83	$252.98	$337.48
Providence Facility/Professional Facility Modifier 54 Low / Median / High Price $154.76 / $154.76 / $361.67	Facility	54	$154.76	$154.76	$361.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $175.58 / $246.07 / $502.57	Professional		$175.58	$246.07	$502.57
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $611.62 / $611.62 / $615.23	Professional		$611.62	$611.62	$615.23
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $91.67 / $201.46 / $277.00	Professional		$91.67	$201.46	$277.00
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 $143.72 / $186.20 / $420.18	Professional		$143.72	$186.20	$420.18