Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $774.10 / $4,848.00 / $16,713.00	Facility		$774.10	$4,848.00	$16,713.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $84.72 / $101.48 / $1,260.81	Facility	52	$84.72	$101.48	$1,260.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $163.65 / $269.25 / $859.25	Professional		$163.65	$269.25	$859.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $141.30 / $215.51 / $307.26	Professional		$141.30	$215.51	$307.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,196.00 / $5,357.00 / $10,576.00	Facility		$1,196.00	$5,357.00	$10,576.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $224.19 / $358.98 / $754.45	Professional		$224.19	$358.98	$754.45
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $69.80 / $100.00 / $6,501.89	Facility		$69.80	$100.00	$6,501.89
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $186.32 / $389.56 / $795.97	Professional		$186.32	$389.56	$795.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $455.00 / $751.55 / $1,881.00	Facility		$455.00	$751.55	$1,881.00
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $223.11 / $223.11 / $223.11	Facility	52	$223.11	$223.11	$223.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $182.59 / $336.70 / $830.95	Professional		$182.59	$336.70	$830.95
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $147.80 / $220.00 / $695.49	Professional		$147.80	$220.00	$695.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $164.17 / $394.00 / $734.62	Professional		$164.17	$394.00	$734.62
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,120.56 / $1,150.80 / $16,394.00	Facility		$1,120.56	$1,150.80	$16,394.00
Lucent Health Facility/Professional Facility Modifier 52 Low / Median / High Price $595.82 / $645.39 / $645.39	Facility	52	$595.82	$645.39	$645.39
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,528.93 / $2,916.88 / $3,408.38	Professional		$1,528.93	$2,916.88	$3,408.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $341.96	Professional		$32.34	$32.34	$341.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $178.62 / $293.79 / $644.34	Facility		$178.62	$293.79	$644.34
Providence Facility/Professional Facility Modifier 52 Low / Median / High Price $223.11 / $223.11 / $223.11	Facility	52	$223.11	$223.11	$223.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $188.55 / $403.45 / $1,008.28	Professional		$188.55	$403.45	$1,008.28
Sutter Health Plus Facility/Professional Facility Modifier Low / Median / High Price $1,672.00 / $1,672.00 / $1,672.00	Facility		$1,672.00	$1,672.00	$1,672.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $542.25 / $542.25 / $1,298.40	Professional		$542.25	$542.25	$1,298.40
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $148.02 / $203.52 / $572.67	Professional		$148.02	$203.52	$572.67
United Facility/Professional Facility Modifier Low / Median / High Price $850.11 / $3,964.00 / $9,131.00	Facility		$850.11	$3,964.00	$9,131.00
United Facility/Professional Professional Modifier Low / Median / High Price $187.20 / $373.51 / $945.75	Professional		$187.20	$373.51	$945.75