Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $380.32 / $4,848.00 / $16,573.00	Facility		$380.32	$4,848.00	$16,573.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $263.56 / $284.32 / $1,761.28	Facility	54	$263.56	$284.32	$1,761.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $329.27 / $397.36 / $2,032.14	Professional		$329.27	$397.36	$2,032.14
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 $421.61 / $541.80 / $1,074.61	Professional		$421.61	$541.80	$1,074.61
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 $303.95 / $429.63 / $982.38	Professional		$303.95	$429.63	$982.38
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 $383.41 / $483.15 / $987.90	Professional		$383.41	$483.15	$987.90
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $370.07 / $474.63 / $634.54	Professional		$370.07	$474.63	$634.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $382.75 / $517.54 / $922.25	Professional		$382.75	$517.54	$922.25
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,272.60 / $2,314.75 / $12,000.00	Facility		$2,272.60	$2,314.75	$12,000.00
Lucent Health Facility/Professional Facility Modifier 54 Low / Median / High Price $1,275.83 / $1,414.06 / $1,414.06	Facility	54	$1,275.83	$1,414.06	$1,414.06
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,859.28 / $2,941.28 / $3,432.23	Professional		$2,859.28	$2,941.28	$3,432.23
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 $378.84 / $507.78 / $688.21	Facility		$378.84	$507.78	$688.21
Providence Facility/Professional Facility Modifier 54 Low / Median / High Price $466.14 / $466.14 / $752.25	Facility	54	$466.14	$466.14	$752.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $387.21 / $517.04 / $1,033.06	Professional		$387.21	$517.04	$1,033.06
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,260.90 / $1,260.90 / $1,269.32	Professional		$1,260.90	$1,260.90	$1,269.32
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $383.19 / $518.09 / $666.12	Professional		$383.19	$518.09	$666.12
United Facility/Professional Facility Modifier Low / Median / High Price $545.00 / $1,533.00 / $6,323.00	Facility		$545.00	$1,533.00	$6,323.00
United Facility/Professional Professional Modifier Low / Median / High Price $305.82 / $395.87 / $842.57	Professional		$305.82	$395.87	$842.57