Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,324.50 / $6,308.32 / $16,973.00	Facility		$1,324.50	$6,308.32	$16,973.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $236.25 / $236.25 / $973.02	Facility	52	$236.25	$236.25	$973.02
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $94.50 / $94.50 / $389.21	Facility	53	$94.50	$94.50	$389.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $360.78 / $472.50 / $1,455.20	Professional		$360.78	$472.50	$1,455.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $293.79 / $354.08 / $1,606.89	Professional		$293.79	$354.08	$1,606.89
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 $425.99 / $757.67 / $1,297.24	Professional		$425.99	$757.67	$1,297.24
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $67.90 / $577.47 / $5,170.71	Facility		$67.90	$577.47	$5,170.71
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $257.70 / $376.47 / $863.60	Professional		$257.70	$376.47	$863.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $633.00 / $1,766.05 / $4,917.14	Facility		$633.00	$1,766.05	$4,917.14
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $291.99 / $291.99 / $291.99	Facility	52	$291.99	$291.99	$291.99
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $73.00 / $73.00 / $73.00	Facility	53	$73.00	$73.00	$73.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $324.42 / $501.16 / $1,120.84	Professional		$324.42	$501.16	$1,120.84
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $362.78 / $399.06 / $1,960.02	Professional		$362.78	$399.06	$1,960.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $298.89 / $398.53 / $793.00	Professional		$298.89	$398.53	$793.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $6,920.96 / $7,929.30	Facility		$55.00	$6,920.96	$7,929.30
Lucent Health Facility/Professional Facility Modifier 52 Low / Median / High Price $598.46 / $6,012.68 / $6,012.68	Facility	52	$598.46	$6,012.68	$6,012.68
Lucent Health Facility/Professional Facility Modifier 53 Low / Median / High Price $149.61 / $1,503.17 / $1,503.17	Facility	53	$149.61	$1,503.17	$1,503.17
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,379.76 / $2,445.36 / $2,708.55	Professional		$2,379.76	$2,445.36	$2,708.55
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 $328.02 / $417.49 / $675.68	Facility		$328.02	$417.49	$675.68
Providence Facility/Professional Facility Modifier 52 Low / Median / High Price $291.99 / $291.99 / $291.99	Facility	52	$291.99	$291.99	$291.99
Providence Facility/Professional Facility Modifier 53 Low / Median / High Price $73.00 / $73.00 / $73.00	Facility	53	$73.00	$73.00	$73.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $335.74 / $556.13 / $917.70	Professional		$335.74	$556.13	$917.70
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,087.56 / $1,087.56 / $1,087.56	Professional		$1,087.56	$1,087.56	$1,087.56
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $292.89 / $402.74 / $402.74	Professional		$292.89	$402.74	$402.74
United Facility/Professional Facility Modifier Low / Median / High Price $1,540.00 / $3,964.00 / $9,131.00	Facility		$1,540.00	$3,964.00	$9,131.00
United Facility/Professional Professional Modifier Low / Median / High Price $268.52 / $383.68 / $858.54	Professional		$268.52	$383.68	$858.54