Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,197.85 / $6,626.00 / $17,380.00	Facility		$2,197.85	$6,626.00	$17,380.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.41 / $607.08 / $1,162.24	Professional		$186.41	$607.08	$1,162.24
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 $543.15 / $731.76 / $1,501.63	Professional		$543.15	$731.76	$1,501.63
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.09 / $100.00 / $7,908.14	Facility		$66.09	$100.00	$7,908.14
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $412.85 / $595.66 / $1,452.06	Professional		$412.85	$595.66	$1,452.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $596.19 / $785.22 / $1,836.74	Professional		$596.19	$785.22	$1,836.74
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $446.76 / $796.86 / $956.23	Professional		$446.76	$796.86	$956.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $631.22 / $866.62 / $1,588.80	Professional		$631.22	$866.62	$1,588.80
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,761.40 / $11,500.00 / $26,542.00	Facility		$3,761.40	$11,500.00	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $154.63 / $1,052.31 / $1,052.31	Facility	AS	$154.63	$1,052.31	$1,052.31
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,896.16 / $5,004.08 / $5,742.75	Professional		$4,896.16	$5,004.08	$5,742.75
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 $607.76 / $844.85 / $1,166.29	Facility		$607.76	$844.85	$1,166.29
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $216.12 / $216.12 / $216.12	Facility	AS	$216.12	$216.12	$216.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $609.21 / $818.20 / $1,778.13	Professional		$609.21	$818.20	$1,778.13
Sutter Health Plus Facility/Professional Facility Modifier Low / Median / High Price $5,156.00 / $5,156.00 / $5,156.00	Facility		$5,156.00	$5,156.00	$5,156.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,173.48 / $2,173.48 / $2,173.48	Professional		$2,173.48	$2,173.48	$2,173.48
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $563.40 / $732.42 / $957.78	Professional		$563.40	$732.42	$957.78
United Facility/Professional Facility Modifier Low / Median / High Price $5,331.00 / $9,810.00 / $21,278.00	Facility		$5,331.00	$9,810.00	$21,278.00
United Facility/Professional Professional Modifier Low / Median / High Price $514.35 / $678.64 / $1,675.33	Professional		$514.35	$678.64	$1,675.33