Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $6,918.31 / $18,197.01	Facility		$2,691.53	$6,918.31	$18,197.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $660.69 / $2,454.71	Professional		$436.52	$660.69	$2,454.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $8,128.31 / $15,848.93	Facility		$4,570.88	$8,128.31	$15,848.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $758.58 / $1,479.11	Professional		$524.81	$758.58	$1,479.11
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $3,890.45 / $9,120.11	Facility		$66.07	$3,890.45	$9,120.11
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $776.25 / $1,513.56	Professional		$501.19	$776.25	$1,513.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $3,090.30 / $3,090.30	Facility		$3,090.30	$3,090.30	$3,090.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $707.95 / $1,230.27	Professional		$478.63	$707.95	$1,230.27
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $537.03 / $1,023.29	Professional		$275.42	$537.03	$1,023.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $660.69 / $1,148.15	Professional		$436.52	$660.69	$1,148.15
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $8,912.51 / $8,912.51 / $45,708.82	Facility		$8,912.51	$8,912.51	$45,708.82
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $891.25 / $891.25 / $891.25	Facility	AS	$891.25	$891.25	$891.25
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,365.16 / $4,897.79 / $4,897.79	Professional		$4,365.16	$4,897.79	$4,897.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $501.19 / $831.76	Professional		$501.19	$501.19	$831.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $707.95 / $1,071.52	Facility		$478.63	$707.95	$1,071.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $724.44 / $1,288.25	Professional		$478.63	$724.44	$1,288.25
Sutter Health Plus Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $3,801.89 / $3,801.89	Facility		$3,801.89	$3,801.89	$3,801.89
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $1,995.26	Professional		$1,445.44	$1,445.44	$1,995.26
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $467.74 / $645.65	Professional		$346.74	$467.74	$645.65
United Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $7,413.10 / $15,135.61	Facility		$4,073.80	$7,413.10	$15,135.61
United Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $575.44 / $1,096.48	Professional		$380.19	$575.44	$1,096.48