Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,256.22 / $5,165.00 / $16,109.00	Facility		$1,256.22	$5,165.00	$16,109.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $477.22 / $524.47 / $3,678.71	Facility	54	$477.22	$524.47	$3,678.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $577.41 / $699.91 / $1,841.43	Professional		$577.41	$699.91	$1,841.43
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $89.86 / $119.62 / $626.05	Professional	55	$89.86	$119.62	$626.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $637.50 / $737.44 / $1,074.94	Professional		$637.50	$737.44	$1,074.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,097.00 / $5,977.00 / $13,012.00	Facility		$2,097.00	$5,977.00	$13,012.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $690.09 / $1,001.52 / $1,923.01	Professional		$690.09	$1,001.52	$1,923.01
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,553.14	Facility		$66.00	$100.00	$5,553.14
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $536.26 / $774.50 / $1,778.46	Professional		$536.26	$774.50	$1,778.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $372.64 / $2,977.65 / $4,058.71	Facility		$372.64	$2,977.65	$4,058.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $669.18 / $920.93 / $2,103.17	Professional		$669.18	$920.93	$2,103.17
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $421.82 / $998.23 / $1,347.61	Professional		$421.82	$998.23	$1,347.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $774.16 / $1,030.58 / $1,920.03	Professional		$774.16	$1,030.58	$1,920.03
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,441.20 / $11,879.05 / $12,000.00	Facility		$4,441.20	$11,879.05	$12,000.00
Lucent Health Facility/Professional Facility Modifier 54 Low / Median / High Price $1,318.88 / $7,881.75 / $7,881.75	Facility	54	$1,318.88	$7,881.75	$7,881.75
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,899.52 / $6,128.88 / $6,737.48	Professional		$5,899.52	$6,128.88	$6,737.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $848.09 / $1,050.43 / $1,447.43	Facility		$848.09	$1,050.43	$1,447.43
Providence Facility/Professional Facility Modifier 54 Low / Median / High Price $1,555.90 / $1,555.90 / $1,555.90	Facility	54	$1,555.90	$1,555.90	$1,555.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $699.07 / $1,001.09 / $2,176.17	Professional		$699.07	$1,001.09	$2,176.17
Providence Facility/Professional Professional Modifier 55 Low / Median / High Price $307.58 / $383.16 / $460.18	Professional	55	$307.58	$383.16	$460.18
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,589.71 / $2,589.71 / $2,589.71	Professional		$2,589.71	$2,589.71	$2,589.71
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $531.94 / $759.27 / $1,109.60	Professional		$531.94	$759.27	$1,109.60
United Facility/Professional Facility Modifier Low / Median / High Price $3,523.00 / $7,359.00 / $15,471.00	Facility		$3,523.00	$7,359.00	$15,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $597.63 / $766.56 / $1,718.73	Professional		$597.63	$766.56	$1,718.73