Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,467.29 / $6,423.00 / $16,756.00	Facility		$1,467.29	$6,423.00	$16,756.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,160.63 / $1,380.81 / $5,744.00	Professional		$1,160.63	$1,380.81	$5,744.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,696.00 / $7,166.00 / $15,328.00	Facility		$2,696.00	$7,166.00	$15,328.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,150.33 / $1,525.90 / $2,950.56	Professional		$1,150.33	$1,525.90	$2,950.56
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $8,011.98	Facility		$66.00	$100.00	$8,011.98
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $995.97 / $1,422.81 / $3,128.13	Professional		$995.97	$1,422.81	$3,128.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,282.52 / $1,647.09 / $3,475.96	Professional		$1,282.52	$1,647.09	$3,475.96
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $939.69 / $1,678.74 / $2,014.49	Professional		$939.69	$1,678.74	$2,014.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,360.57 / $1,846.61 / $3,812.00	Professional		$1,360.57	$1,846.61	$3,812.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,979.65 / $11,500.00 / $26,542.00	Facility		$6,979.65	$11,500.00	$26,542.00
Lucent Health Facility/Professional Facility Modifier 62 Low / Median / High Price $2,094.56 / $6,576.94 / $6,576.94	Facility	62	$2,094.56	$6,576.94	$6,576.94
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $335.13 / $1,052.31 / $1,052.31	Facility	AS	$335.13	$1,052.31	$1,052.31
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,720.80 / $12,056.47 / $12,846.15	Professional		$10,720.80	$12,056.47	$12,846.15
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 $1,324.33 / $1,812.91 / $2,333.90	Facility		$1,324.33	$1,812.91	$2,333.90
Providence Facility/Professional Facility Modifier 62 Low / Median / High Price $2,233.84 / $2,233.84 / $2,233.84	Facility	62	$2,233.84	$2,233.84	$2,233.84
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $571.86 / $571.86 / $571.86	Facility	80	$571.86	$571.86	$571.86
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $486.08 / $486.08 / $486.08	Facility	AS	$486.08	$486.08	$486.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,312.01 / $1,703.07 / $3,512.81	Professional		$1,312.01	$1,703.07	$3,512.81
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,865.59 / $4,865.59 / $4,865.59	Professional		$4,865.59	$4,865.59	$4,865.59
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,185.02 / $1,540.52 / $2,014.53	Professional		$1,185.02	$1,540.52	$2,014.53
United Facility/Professional Facility Modifier Low / Median / High Price $5,679.00 / $9,810.00 / $21,278.00	Facility		$5,679.00	$9,810.00	$21,278.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,177.48 / $1,547.59 / $3,539.82	Professional		$1,177.48	$1,547.59	$3,539.82