Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $467.48 / $4,848.00 / $16,573.00	Facility		$467.48	$4,848.00	$16,573.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $321.14 / $346.61 / $2,196.44	Facility	54	$321.14	$346.61	$2,196.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $381.83 / $467.48 / $2,502.30	Professional		$381.83	$467.48	$2,502.30
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 $495.25 / $648.41 / $1,302.05	Professional		$495.25	$648.41	$1,302.05
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,367.09	Facility		$66.00	$100.00	$5,367.09
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $359.59 / $508.60 / $1,158.04	Professional		$359.59	$508.60	$1,158.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $253.20 / $253.65 / $1,487.00	Facility		$253.20	$253.65	$1,487.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $462.53 / $589.55 / $1,231.34	Professional		$462.53	$589.55	$1,231.34
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $581.16 / $639.29 / $784.58	Professional		$581.16	$639.29	$784.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $476.18 / $641.74 / $1,138.41	Professional		$476.18	$641.74	$1,138.41
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,798.50 / $2,860.45 / $12,000.00	Facility		$2,798.50	$2,860.45	$12,000.00
Lucent Health Facility/Professional Facility Modifier 54 Low / Median / High Price $1,570.45 / $1,744.73 / $1,744.73	Facility	54	$1,570.45	$1,744.73	$1,744.73
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,520.80 / $3,665.28 / $4,262.39	Professional		$3,520.80	$3,665.28	$4,262.39
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 $452.31 / $622.08 / $842.70	Facility		$452.31	$622.08	$842.70
Providence Facility/Professional Facility Modifier 54 Low / Median / High Price $573.02 / $573.02 / $935.98	Facility	54	$573.02	$573.02	$935.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $466.92 / $622.57 / $1,272.09	Professional		$466.92	$622.57	$1,272.09
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,552.63 / $1,552.63 / $1,577.87	Professional		$1,552.63	$1,552.63	$1,577.87
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $469.22 / $538.74 / $658.46	Professional		$469.22	$538.74	$658.46
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 $375.03 / $499.32 / $1,080.96	Professional		$375.03	$499.32	$1,080.96