Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $536.66 / $4,969.00 / $17,013.00	Facility		$536.66	$4,969.00	$17,013.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $116.06 / $225.85 / $1,133.59	Facility	52	$116.06	$225.85	$1,133.59
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $46.42 / $90.34 / $453.44	Facility	53	$46.42	$90.34	$453.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $207.87 / $404.66 / $962.33	Professional		$207.87	$404.66	$962.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $89.35 / $144.82 / $274.49	Professional		$89.35	$144.82	$274.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $4,417.00 / $9,244.00	Facility		$1,000.00	$4,417.00	$9,244.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $283.57 / $408.19 / $819.40	Professional		$283.57	$408.19	$819.40
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $67.90 / $100.00 / $6,539.15	Facility		$67.90	$100.00	$6,539.15
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $253.63 / $474.23 / $911.95	Professional		$253.63	$474.23	$911.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $470.49 / $900.00 / $2,226.34	Facility		$470.49	$900.00	$2,226.34
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $270.52 / $270.52 / $270.52	Facility	52	$270.52	$270.52	$270.52
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $67.63 / $67.63 / $67.63	Facility	53	$67.63	$67.63	$67.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.13 / $450.37 / $884.40	Professional		$234.13	$450.37	$884.40
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $220.64 / $412.88 / $738.44	Professional		$220.64	$412.88	$738.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $198.58 / $407.68 / $778.30	Professional		$198.58	$407.68	$778.30
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,129.75 / $1,154.15 / $16,394.00	Facility		$1,129.75	$1,154.15	$16,394.00
Lucent Health Facility/Professional Facility Modifier 52 Low / Median / High Price $721.81 / $779.08 / $779.08	Facility	52	$721.81	$779.08	$779.08
Lucent Health Facility/Professional Facility Modifier 53 Low / Median / High Price $180.45 / $194.77 / $194.77	Facility	53	$180.45	$194.77	$194.77
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,794.00 / $3,137.04 / $3,665.78	Professional		$1,794.00	$3,137.04	$3,665.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $367.90	Professional		$32.34	$32.34	$367.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $227.55 / $437.95 / $731.63	Facility		$227.55	$437.95	$731.63
Providence Facility/Professional Facility Modifier 52 Low / Median / High Price $270.52 / $270.52 / $270.52	Facility	52	$270.52	$270.52	$270.52
Providence Facility/Professional Facility Modifier 53 Low / Median / High Price $67.63 / $67.63 / $67.63	Facility	53	$67.63	$67.63	$67.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $241.48 / $486.27 / $1,073.39	Professional		$241.48	$486.27	$1,073.39
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $655.41 / $655.41 / $1,406.75	Professional		$655.41	$655.41	$1,406.75
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $200.43 / $497.40 / $728.95	Professional		$200.43	$497.40	$728.95
United Facility/Professional Facility Modifier Low / Median / High Price $1,761.00 / $3,965.00 / $12,135.00	Facility		$1,761.00	$3,965.00	$12,135.00
United Facility/Professional Professional Modifier Low / Median / High Price $345.60 / $484.71 / $1,063.68	Professional		$345.60	$484.71	$1,063.68