Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $334.71 / $3,747.00 / $15,877.00	Facility		$334.71	$3,747.00	$15,877.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $29.60 / $68.63 / $474.10	Facility	52	$29.60	$68.63	$474.10
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $11.84 / $27.45 / $189.64	Facility	53	$11.84	$27.45	$189.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.94 / $137.25 / $443.00	Professional		$55.94	$137.25	$443.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $40.45 / $53.91 / $149.46	Professional		$40.45	$53.91	$149.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $873.00 / $4,314.00 / $8,260.00	Facility		$873.00	$4,314.00	$8,260.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.28 / $141.62 / $306.13	Professional		$66.28	$141.62	$306.13
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $69.80 / $100.00 / $4,858.55	Facility		$69.80	$100.00	$4,858.55
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $66.66 / $132.47 / $275.58	Professional		$66.66	$132.47	$275.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $176.56 / $400.00 / $1,404.00	Facility		$176.56	$400.00	$1,404.00
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $76.54 / $76.54 / $76.54	Facility	52	$76.54	$76.54	$76.54
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $19.14 / $19.14 / $19.14	Facility	53	$19.14	$19.14	$19.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.95 / $149.08 / $387.44	Professional		$63.95	$149.08	$387.44
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $54.73 / $71.94 / $291.08	Professional		$54.73	$71.94	$291.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $57.46 / $180.51 / $341.00	Professional		$57.46	$180.51	$341.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $323.70 / $343.59 / $11,500.00	Facility		$323.70	$343.59	$11,500.00
Lucent Health Facility/Professional Facility Modifier 52 Low / Median / High Price $207.08 / $227.20 / $227.20	Facility	52	$207.08	$227.20	$227.20
Lucent Health Facility/Professional Facility Modifier 53 Low / Median / High Price $51.77 / $56.80 / $56.80	Facility	53	$51.77	$56.80	$56.80
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $697.67 / $1,331.20 / $1,570.43	Professional		$697.67	$1,331.20	$1,570.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $152.79	Professional		$32.34	$32.34	$152.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $59.79 / $128.66 / $294.20	Facility		$59.79	$128.66	$294.20
Providence Facility/Professional Facility Modifier 52 Low / Median / High Price $76.54 / $76.54 / $76.54	Facility	52	$76.54	$76.54	$76.54
Providence Facility/Professional Facility Modifier 53 Low / Median / High Price $19.14 / $19.14 / $19.14	Facility	53	$19.14	$19.14	$19.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $66.66 / $153.69 / $454.82	Professional		$66.66	$153.69	$454.82
Sutter Health Plus Facility/Professional Facility Modifier Low / Median / High Price $1,148.00 / $1,148.00 / $1,148.00	Facility		$1,148.00	$1,148.00	$1,148.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $183.22 / $183.22 / $588.34	Professional		$183.22	$183.22	$588.34
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $52.80 / $72.59 / $269.69	Professional		$52.80	$72.59	$269.69
United Facility/Professional Facility Modifier Low / Median / High Price $520.00 / $2,562.00 / $7,655.00	Facility		$520.00	$2,562.00	$7,655.00
United Facility/Professional Professional Modifier Low / Median / High Price $124.50 / $176.49 / $446.25	Professional		$124.50	$176.49	$446.25