Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $511.14 / $4,848.00 / $16,573.00	Facility		$511.14	$4,848.00	$16,573.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $326.81 / $354.56 / $2,368.44	Facility	54	$326.81	$354.56	$2,368.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $409.00 / $496.18 / $2,121.39	Professional		$409.00	$496.18	$2,121.39
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 $532.94 / $698.51 / $1,343.02	Professional		$532.94	$698.51	$1,343.02
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 $385.53 / $534.83 / $1,210.35	Professional		$385.53	$534.83	$1,210.35
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 $480.50 / $625.86 / $1,289.79	Professional		$480.50	$625.86	$1,289.79
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $345.13 / $631.05 / $774.48	Professional		$345.13	$631.05	$774.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $492.91 / $657.22 / $1,185.47	Professional		$492.91	$657.22	$1,185.47
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,799.60 / $2,860.50 / $12,000.00	Facility		$2,799.60	$2,860.50	$12,000.00
Lucent Health Facility/Professional Facility Modifier 54 Low / Median / High Price $1,572.54 / $1,733.89 / $1,733.89	Facility	54	$1,572.54	$1,733.89	$1,733.89
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,524.16 / $3,926.40 / $4,573.43	Professional		$3,524.16	$3,926.40	$4,573.43
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 $533.27 / $658.37 / $865.44	Facility		$533.27	$658.37	$865.44
Providence Facility/Professional Facility Modifier 54 Low / Median / High Price $576.41 / $576.41 / $1,002.78	Facility	54	$576.41	$576.41	$1,002.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $489.32 / $669.61 / $1,318.78	Professional		$489.32	$669.61	$1,318.78
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,564.50 / $1,564.50 / $1,702.74	Professional		$1,564.50	$1,564.50	$1,702.74
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $463.10 / $558.38 / $705.18	Professional		$463.10	$558.38	$705.18
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 $405.00 / $533.41 / $1,163.81	Professional		$405.00	$533.41	$1,163.81