Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $857.50 / $6,951.00 / $16,883.00	Facility		$857.50	$6,951.00	$16,883.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $130.75 / $186.44 / $4,712.33	Facility	52	$130.75	$186.44	$4,712.33
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $52.30 / $73.79 / $1,884.93	Facility	53	$52.30	$73.79	$1,884.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $261.49 / $404.72 / $1,555.00	Professional		$261.49	$404.72	$1,555.00
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $48.55 / $77.47 / $1,516.65	Professional	53	$48.55	$77.47	$1,516.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $259.56 / $259.56 / $1,125.00	Professional		$259.56	$259.56	$1,125.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $5,863.00 / $11,400.00	Facility		$2,143.00	$5,863.00	$11,400.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $331.49 / $498.73 / $1,335.51	Professional		$331.49	$498.73	$1,335.51
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.70 / $100.00 / $7,864.42	Facility		$66.70	$100.00	$7,864.42
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $224.51 / $321.57 / $797.49	Professional		$224.51	$321.57	$797.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,115.08 / $2,499.65 / $5,888.95	Facility		$2,115.08	$2,499.65	$5,888.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $261.50 / $409.70 / $3,138.11	Professional		$261.50	$409.70	$3,138.11
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $175.32 / $276.68 / $2,139.75	Professional		$175.32	$276.68	$2,139.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $230.09 / $847.00 / $2,329.31	Professional		$230.09	$847.00	$2,329.31
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,131.86 / $2,294.04 / $26,542.00	Facility		$2,131.86	$2,294.04	$26,542.00
Lucent Health Facility/Professional Facility Modifier 52 Low / Median / High Price $465.32 / $896.65 / $896.65	Facility	52	$465.32	$896.65	$896.65
Lucent Health Facility/Professional Facility Modifier 53 Low / Median / High Price $116.33 / $224.16 / $224.16	Facility	53	$116.33	$224.16	$224.16
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,713.31 / $8,969.32 / $10,538.93	Professional		$4,713.31	$8,969.32	$10,538.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $266.95 / $423.25 / $2,057.44	Facility		$266.95	$423.25	$2,057.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $267.57 / $452.70 / $3,352.20	Professional		$267.57	$452.70	$3,352.20
Sutter Health Plus Facility/Professional Facility Modifier Low / Median / High Price $4,022.00 / $4,022.00 / $4,022.00	Facility		$4,022.00	$4,022.00	$4,022.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $753.78 / $753.78 / $4,705.25	Professional		$753.78	$753.78	$4,705.25
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $175.32 / $279.00 / $1,830.17	Professional		$175.32	$279.00	$1,830.17
United Facility/Professional Facility Modifier Low / Median / High Price $3,800.00 / $7,473.00 / $16,148.00	Facility		$3,800.00	$7,473.00	$16,148.00
United Facility/Professional Professional Modifier Low / Median / High Price $306.35 / $1,386.35 / $4,495.60	Professional		$306.35	$1,386.35	$4,495.60