Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,919.00 / $6,159.00 / $17,030.00	Facility		$1,919.00	$6,159.00	$17,030.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $898.67 / $1,042.50 / $5,269.19	Professional		$898.67	$1,042.50	$5,269.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $5,944.00 / $13,012.00	Facility		$2,143.00	$5,944.00	$13,012.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,226.61 / $1,607.70 / $3,091.08	Professional		$1,226.61	$1,607.70	$3,091.08
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,826.58	Facility		$66.00	$100.00	$7,826.58
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $779.96 / $1,114.23 / $2,487.32	Professional		$779.96	$1,114.23	$2,487.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,360.35 / $2,364.53 / $5,980.00	Facility		$2,360.35	$2,364.53	$5,980.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,030.36 / $1,312.38 / $2,852.99	Professional		$1,030.36	$1,312.38	$2,852.99
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $860.01 / $1,142.63 / $1,626.83	Professional		$860.01	$1,142.63	$1,626.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $930.61 / $1,292.51 / $2,327.00	Professional		$930.61	$1,292.51	$2,327.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $6,880.98 / $7,053.06	Facility		$55.00	$6,880.98	$7,053.06
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $227.13 / $646.16 / $646.16	Facility	AS	$227.13	$646.16	$646.16
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,241.20 / $7,420.16 / $8,566.95	Professional		$7,241.20	$7,420.16	$8,566.95
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 $1,023.58 / $1,277.43 / $1,746.35	Facility		$1,023.58	$1,277.43	$1,746.35
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $112.96 / $112.96 / $325.77	Facility	AS	$112.96	$112.96	$325.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,037.67 / $1,374.45 / $2,708.97	Professional		$1,037.67	$1,374.45	$2,708.97
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,269.42 / $3,269.42 / $3,269.42	Professional		$3,269.42	$3,269.42	$3,269.42
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $922.10 / $1,267.88 / $1,626.82	Professional		$922.10	$1,267.88	$1,626.82
United Facility/Professional Facility Modifier Low / Median / High Price $3,523.00 / $7,352.00 / $14,743.00	Facility		$3,523.00	$7,352.00	$14,743.00
United Facility/Professional Professional Modifier Low / Median / High Price $814.53 / $1,105.42 / $2,448.06	Professional		$814.53	$1,105.42	$2,448.06