Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $365.00 / $4,075.00 / $16,109.00	Facility		$365.00	$4,075.00	$16,109.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $216.13 / $237.00 / $1,619.35	Facility	54	$216.13	$237.00	$1,619.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $276.85 / $331.39 / $1,265.00	Professional		$276.85	$331.39	$1,265.00
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 $343.87 / $450.69 / $866.55	Professional		$343.87	$450.69	$866.55
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 $257.63 / $357.55 / $816.63	Professional		$257.63	$357.55	$816.63
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 $317.95 / $417.41 / $881.07	Professional		$317.95	$417.41	$881.07
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $184.99 / $410.70 / $554.45	Professional		$184.99	$410.70	$554.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $342.56 / $460.48 / $819.00	Professional		$342.56	$460.48	$819.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,573.16 / $1,738.50 / $12,000.00	Facility		$1,573.16	$1,738.50	$12,000.00
Lucent Health Facility/Professional Facility Modifier 54 Low / Median / High Price $1,078.76 / $1,216.95 / $1,216.95	Facility	54	$1,078.76	$1,216.95	$1,216.95
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,423.36 / $2,663.36 / $3,100.58	Professional		$2,423.36	$2,663.36	$3,100.58
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 $347.86 / $445.02 / $603.90	Facility		$347.86	$445.02	$603.90
Providence Facility/Professional Facility Modifier 54 Low / Median / High Price $390.20 / $390.20 / $671.30	Facility	54	$390.20	$390.20	$671.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $322.14 / $447.26 / $893.65	Professional		$322.14	$447.26	$893.65
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,051.67 / $1,051.67 / $1,139.43	Professional		$1,051.67	$1,051.67	$1,139.43
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $207.19 / $361.44 / $496.98	Professional		$207.19	$361.44	$496.98
United Facility/Professional Facility Modifier Low / Median / High Price $548.00 / $1,533.00 / $6,323.00	Facility		$548.00	$1,533.00	$6,323.00
United Facility/Professional Professional Modifier Low / Median / High Price $271.69 / $355.44 / $870.83	Professional		$271.69	$355.44	$870.83