Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $399.08 / $4,420.00 / $16,125.00	Facility		$399.08	$4,420.00	$16,125.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $253.28 / $275.89 / $1,438.88	Facility	54	$253.28	$275.89	$1,438.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $307.38 / $364.48 / $979.14	Professional		$307.38	$364.48	$979.14
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 $334.15 / $501.67 / $909.39	Professional		$334.15	$501.67	$909.39
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 $293.97 / $403.47 / $871.07	Professional		$293.97	$403.47	$871.07
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 $308.45 / $418.90 / $799.45	Professional		$308.45	$418.90	$799.45
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $189.81 / $375.69 / $507.18	Professional		$189.81	$375.69	$507.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $310.08 / $414.45 / $738.00	Professional		$310.08	$414.45	$738.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,413.04 / $1,578.28 / $12,000.00	Facility		$1,413.04	$1,578.28	$12,000.00
Lucent Health Facility/Professional Facility Modifier 54 Low / Median / High Price $970.65 / $1,104.80 / $1,104.80	Facility	54	$970.65	$1,104.80	$1,104.80
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,180.16 / $2,363.92 / $2,754.90	Professional		$2,180.16	$2,363.92	$2,754.90
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 $328.97 / $426.07 / $579.67	Facility		$328.97	$426.07	$579.67
Providence Facility/Professional Facility Modifier 54 Low / Median / High Price $349.05 / $349.05 / $596.14	Facility	54	$349.05	$349.05	$596.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $318.64 / $445.24 / $814.10	Professional		$318.64	$445.24	$814.10
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $938.13 / $938.13 / $1,004.25	Professional		$938.13	$938.13	$1,004.25
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $225.50 / $341.45 / $447.46	Professional		$225.50	$341.45	$447.46
United Facility/Professional Facility Modifier Low / Median / High Price $548.00 / $1,523.00 / $6,323.00	Facility		$548.00	$1,523.00	$6,323.00
United Facility/Professional Professional Modifier Low / Median / High Price $240.80 / $349.73 / $697.20	Professional		$240.80	$349.73	$697.20