Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $372.94 / $4,056.00 / $16,109.00	Facility		$372.94	$4,056.00	$16,109.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $194.79 / $217.25 / $1,478.20	Facility	54	$194.79	$217.25	$1,478.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $248.06 / $305.13 / $946.20	Professional		$248.06	$305.13	$946.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $375.60 / $375.60 / $375.60	Professional		$375.60	$375.60	$375.60
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 $309.69 / $394.86 / $780.43	Professional		$309.69	$394.86	$780.43
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 $222.05 / $314.42 / $685.62	Professional		$222.05	$314.42	$685.62
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 $286.70 / $378.70 / $794.20	Professional		$286.70	$378.70	$794.20
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $173.92 / $365.44 / $493.34	Professional		$173.92	$365.44	$493.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $304.44 / $415.13 / $715.59	Professional		$304.44	$415.13	$715.59
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,399.20 / $1,545.03 / $12,000.00	Facility		$1,399.20	$1,545.03	$12,000.00
Lucent Health Facility/Professional Facility Modifier 54 Low / Median / High Price $956.89 / $1,081.52 / $1,081.52	Facility	54	$956.89	$1,081.52	$1,081.52
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,155.44 / $2,406.08 / $2,780.93	Professional		$2,155.44	$2,406.08	$2,780.93
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 $284.37 / $398.52 / $538.55	Facility		$284.37	$398.52	$538.55
Providence Facility/Professional Facility Modifier 54 Low / Median / High Price $346.20 / $346.20 / $607.71	Facility	54	$346.20	$346.20	$607.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $291.11 / $406.77 / $809.93	Professional		$291.11	$406.77	$809.93
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $946.63 / $946.63 / $1,037.99	Professional		$946.63	$946.63	$1,037.99
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $194.79 / $326.41 / $448.81	Professional		$194.79	$326.41	$448.81
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 $246.71 / $324.36 / $719.10	Professional		$246.71	$324.36	$719.10