Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $312.44 / $4,344.83 / $16,125.00	Facility		$312.44	$4,344.83	$16,125.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $206.64 / $225.40 / $1,477.91	Facility	54	$206.64	$225.40	$1,477.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.11 / $314.54 / $1,084.07	Professional		$257.11	$314.54	$1,084.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,137.00 / $5,694.00 / $11,233.00	Facility		$2,137.00	$5,694.00	$11,233.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $330.13 / $418.63 / $831.93	Professional		$330.13	$418.63	$831.93
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 $225.71 / $322.44 / $740.81	Professional		$225.71	$322.44	$740.81
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 $295.24 / $384.06 / $809.10	Professional		$295.24	$384.06	$809.10
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $189.87 / $387.19 / $522.71	Professional		$189.87	$387.19	$522.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $317.18 / $426.64 / $760.69	Professional		$317.18	$426.64	$760.69
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,482.40 / $1,642.41 / $12,000.00	Facility		$1,482.40	$1,642.41	$12,000.00
Lucent Health Facility/Professional Facility Modifier 54 Low / Median / High Price $1,021.52 / $1,149.69 / $1,149.69	Facility	54	$1,021.52	$1,149.69	$1,149.69
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,295.52 / $2,416.23 / $2,808.38	Professional		$2,295.52	$2,416.23	$2,808.38
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 $326.39 / $414.92 / $559.19	Facility		$326.39	$414.92	$559.19
Providence Facility/Professional Facility Modifier 54 Low / Median / High Price $370.13 / $370.13 / $613.50	Facility	54	$370.13	$370.13	$613.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $297.99 / $404.17 / $833.52	Professional		$297.99	$404.17	$833.52
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,001.95 / $1,001.95 / $1,045.22	Professional		$1,001.95	$1,001.95	$1,045.22
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $265.82 / $351.82 / $445.83	Professional		$265.82	$351.82	$445.83
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 $245.97 / $323.20 / $731.00	Professional		$245.97	$323.20	$731.00